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HomeMy WebLinkAboutC34290 - Portola Ave STP Rehab 672-13Contract No. C34290 CITY OF PALM DESERT PUBLIC WORKS DEPARTMENT STAFF REPORT REQUEST: AWARD CONTRACT NO. C34290 FOR CONSTRUCTION OF THE PORTOLA AVENUE STP REHAB PROJECT TO HARDY AND HARPER, INC., OF SANTA ANA, CALIFORNIA, IN THE AMOUNT OF $647,000 (PROJECT NO. 672-13) SUBMITTED BY: Mark Greenwood, P.E., Director of Public Works CONTRACTOR: Hardy and Harper, Inc. 1312 East Warner Avenue Santa Ana, CA 92705 DATE: November 12, 2015 CONTENTS: Contract Agreement and Bonds Contractor's Proposal Location Map Recommendation By Minute Motion: Award Contract No. C34290, including Bid Alternate #1, for construction of the Portola Avenue STP Project to Hardy and Harper, Inc., of Santa Ana, California, in the amount of $647,000 (Project No. 672-13); 2. Authorize the Director of Finance to set aside a 10 percent contingency in the amount of $64,700; and 3. Authorize the Mayor to execute the agreement. Funding is available for this project in Account No. 1104311-4332000, General Fund Street Maintenance; and Account No. 2134311-4332000, Measure "A" Fund Street Maintenance. Background This project is part of the City's annual street resurfacing program. The project will repave Portola Avenue from Country Club Drive to Desert Willow Court. This project will be utilizing the Cold In -Place Recycling (CIR) process. The process will construct a new driving surface by recycling the existing asphalt into a base course of asphalt. A final cap of rubberized asphalt will then be paved to complete the street rehabilitation. Staff Report Award Contract C34290 to Hardy and Harper, Inc. (Project 672-13) Page 2 of 2 November 12, 2015 A call for bids for the project was advertised, and on October 27, 2015, sealed bids were opened and read aloud. The following is a summary of the bids received: Contractor Location Bid Amount Hardy and Harper, Inc. Santa Ana, CA $626,000 Matich Corporation Highland, CA $657,110 Granite Construction Indio, CA $668,520 All American Asphalt Corona, CA $694,400 Hardy and Harper, Inc., submitted the lowest responsive bid (7.5 percent less than the engineer's estimate). Per an agreement the City has with CVWD (Contract No. C31910), all paving projects include an alternate bid item to raise the valves and manholes to the new grade on behalf of CVWD. CVWD has the option of accepting the price from the City's contractor and reimbursing the City for the work, or using their own forces to perform the work. CVWD has accepted the price of Bid Alternate #1 given by the contractor for the subject alternate bid item. Therefore, the contract price is increased by $21,000 for the raising of the valves and manholes to grade with the understanding that the funds will be reimbursed at the conclusion of the project. The base bid amount of $626,000 plus the $21,000 in CVWD work totals the $647,000, contract amount. Fiscal Analysis This street resurfacing project is being done as a part of the City's annual street maintenance program. This project has received funding from Federal and State grants. Federal Aid funding through the Surface Transportation Program will reimburse the City $335,505. The State grant reimburses $10 for every ton of rubberized asphalt used on the project: an estimated $29,000. The City will be reimbursed $21,000 by CVWD for work done on their behalf. Prepa Depa*hert Hjbad: Rya er, ject Administrator Mark Grgen� ood, P.E. Director f blic Works Rya S. Gibson, Director of Finance AGREEMENT THIS AGREEMENT is made and entered into this 12th day of November, 2015, by and between City of Palm Desert, California, hereafter called "CITY" and Hardy and Harper, Inc. hereinafter called "CONTRACTOR". WITNESSETH RECITALS: CONTRACTOR has submitted to CITY its Contractor's Bid for the construction of CITY Project, PORTOLA AVENUE STP REHAB PROJECT, PROJECT NO. 672-13, CONTRACT NO. C34290, FEDERAL PROJECT NO. STPL 5414(012), in strict accordance with the Contract Documents identified below, CITY has accepted 2. CONTRACTOR states that it has re-examined its CONTRACTOR'S Bid and found it to be correct, has ascertained that its Subcontractors are properly licensed and possess the requisite skill and forces, has examined the site and Contract in accordance with the Contract Documents for the money set forth in its Bid to be paid as provided in the Contract Documents. AGREEMENT: IT IS AGREED BY THE PARTIES AS FOLLOWS: Contract Documents: The entire contract consists of the following.. (a) The Agreement; (b) The Notice Inviting Bids; (c) The Instruction to Bidders; (d) The Contractor's Bid; (e) The Bidder's Bond; (f) The Performance Bond; (g) The Payment Bond; (h) The General Specifications; (i) The Special Provisions; 0) The Standard Specifications as modified in other portions of the Contract Documents; (k) The Plans; (1) Any Change Orders issued; (m) Any additional or supplemental specifications, notices, instructions and drawings issued in accordance with the provisions of the Contract Documents (n) The Determination of Prevailing Wage Rates for Public Work,(o) Disadvantaged Business Enterprise Documents, (p) Federal Requirements for Federal Aid Construction Projects (q) Addendum No. 1 All of said Documents presently in existence are by this reference incorporated herein as if here set forth in full and upon the proper issuance of their documents they shall likewise be deemed incorporated. 2. Contractor shall commence the work within ten calendar days after the date of the Notice to Proceed and will do all things necessary to construct the work generally described in Recital No. 1 in accordance with the Contract Documents and will complete said work within 30 Calendar Days from the Notice to Proceed date to the satisfaction of the Engineer. Contract No. C34290 3. Contractor agrees to indemnify, defend and save CITY and its officers, agents and employees, and the Engineer harmless from: a. Any and all liability, claims, damages, losses or injuries to any person or other entity, including injury to Contractor's employees, and all claims which arise from or are connected with the negligent performance of or failure to perform the work or other obligations of this Agreement, or which are caused or which are claimed to be caused by the negligent or intentional acts or omissions of Contractor, its subcontractors, its agents or employees, and, all expenses of investigating and defending against same, b. Any and all liability, claims, damages, losses or injuries to any and all contractors, subcontractors, material -men, laborers, or any other person, firm or corporation furnishing or supplying work, services, materials or supplies in connection with the performance of the Agreement. C. Attention is directed to the General Specifications - Claims, Liability, and Indemnity Agreement/Hold Harmless sections, which specifications are made part of this Agreement as set forth in Agreement paragraph 1, above. d. Attention is directed to Section 6-9, "Liquidated Damages" of the Standard Specifications and is hereby amended to substitute the "City of Palm Desert" in place of "Agency." Liquidated damages shall be $1,900.00 per calendar day of delay. 4. Should any litigation or arbitration be commenced between the parties concerning the works of improvements as referenced herein, the prevailing party in any such litigation, being the CITY or the Contractor, should be entitled to a reasonable sum for attorney's fees incurred in any such litigation relating to this Contract. 5. This Agreement shall be binding upon all parties hereto and their respective heirs, executors, administrators, successors, and assigns. 6. Contractor shall be paid in the manner set forth in the Contract Documents the amount of its Bid as accepted by CITY, subject to such additions and deductions as may be made pursuant to the Contact Documents and applicable law. Satisfactory Performance: The prime Contractor agrees to pay each Subcontractor under this prime contract for satisfactory performance of its contract no later than 10 days from the receipt of each payment the prime Contractor receives from City of Palm Desert. Any delay or postponement of payment from the above referenced time frame may occur only for good cause following written approval of the City of Palm Desert. Contract No. C34290 Release of Retention: The prime Contractor agrees further to release retention payments to each Subcontractor within 30 days after the Subcontractor's work is satisfactorily completed. Any delay or postponement of payment from the above referenced time frame may occur only for good cause following written approval of the City of Palm Desert. 7. Execution of the Agreement by the parties constitutes their agreement to abide by all applicable provisions of the California Labor Code; constitutes contractor's certification that he is aware of the provisions of said Code and will comply with them; and further constitutes Contractor's certification as follows: "I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liability for workers' compensation or to undertake self insurance in accordance with the provisions of that Code, and I will comply with such provisions before commencing the performance of the work of this contract." IN WITNESS WHEREOF the parties hereto have executed or caused to be executed by their duly authorized officials, this Agreement which shall be deemed an original on the date first above written. CONTRACTOR: 10AVA Signature to be notarized TITLE: CITY: BY: TITLE: Mavor of Palm Desert. CA APPROVED AS TO CONTENT: MARK GREENWOOD, P.E. DIRECTOR OF PUBLIC WORKS ATTEST BY: TITLE: ATTEST BY: TITLE: City Clerk of Palm Desert, CA APPROVED AS TO FORM: DAVID J. ERWIN CITY ATTORNEY Contract No. C34290 CONTRACTOR ACKNOWLEDGMENT A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) ) SS. County of ) On , 20 , before me, , a Notary Public, personally appeared , who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS: That whereas the City of Palm Desert has awarded to Hardy and Harper, Inc. hereinafter designated as the "Principal", a contract for: PORTOLA AVENUE STP REHAB PROJECT PROJECT NO. 672-13 CONTRACT NO. C34290 FEDERAL PROJECT NO. STPL 5414(012) WHEREAS, said Principal is required under the terms of said contract to furnish a good and sufficient bond for the performance of said contract: NOW THEREFORE, WE, Hardy and Harper, Inc. the Principal, and as Surety, are held and firmly bound unto the City of Palm Desert hereinafter called the City, in the penal sum of Six hundred forty-seven thousand and no/100 Dollars ($647,000.00), being 100% of the contract amount in lawful money of the United States of America for the payment of which sum well and truly to be made, we hereby bind ourselves, our heirs, executors, administrators, and successors, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that if the above bounded Principal, his executors, heirs, administrators, and successors, or assigns, shall in all things stand to and abide by, and well and truly keep and perform the covenants and agreements in the said contract and any alterations thereof made as therein provided, on his or their part, to be kept and performed at the time and in the manner therein specified, and in all respects according to their true intent and meaning, and shall indemnify and save harmless the City, its officers and agents, as therein stipulated, then this obligation shall become null and void; otherwise, it shall be and remain in full force and virtue. And the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to terms of the contract or to the work to be performed thereunder or the specifications accompanying the same shall in any wise affect its obligations on this bond, and it does hereby waive notice of any such change, extension of time, alterations or additions to the terms of the contract or to the work or the specifications. Should it become necessary for the City to institute a lawsuit or any other legal proceeding to enforce the terms and conditions of this bond, then all costs of said proceeding, including attorneys' fees, shall be awarded to the prevailing party. IN WITNESS WHEREOF, identical counterparts of this instrument, each of which shall for all purposes be deemed an original thereof, have been duly executed by the Principal and Surety above named, on this day of , 20 SURETY (Signature must be notarized) INSURANCE COMPANY and/or AGENT ADDRESS TELEPHONE NUMBER SURETY ACKNOWLEDGEMENT PRINCIPAL MIN (Signature must be notarized) A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of ) On personally appeared before me, who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature PRINCIPAL ACKNOWLEDGEMENT A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of ) On before me, personally appeared who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS: THAT WHEREAS, the City of Palm Desert (sometimes referred to hereinafter as "Obligee") has awarded to Hardy and Harper, Inc. (hereinafter designated as the "CONTRACTOR"), an agreement dated November 12, 2015 described as follows: PORTOLA AVENUE STP REHAB PROJECT, PROJECT NO. 672-13, CONTRACT NO. C34290, FEDERAL PROJECT NO. STPL 5414(012), (hereinafter referred to as the "Contract"); and WHEREAS, said CONTRACTOR is required to furnish a bond in connection with said Contract, and pursuant to Section 9100 of the California Civil Code; NOW, THEREFORE, we, Hardy and Harper, Inc. the undersigned CONTRACTOR, as Principal, and a corporation organized and existing under the laws of the State of , and duly authorized to transact business under the laws of the State of California, as Surety, are held and firmly bound unto the City of Palm Desert and to any and all persons, companies or corporations entitled to file stop payment notices under Section 9100 of the California Civil Code, in the sum of Six hundred forty-seven thousand and no/100 Dollars ($647,000.00), said sum being not less than one hundred percent (100%) of the total amount payable by the said Obligee under the terms of the said Contract, for which payment well and truly to be made, we bind ourselves, our heirs, executors and administrators, successors and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, that, if said CONTRACTOR, his or its heirs, executors, administrators, successors or assigns, or Subcontractors, shall fail to pay for any materials, provisions or other supplies, implements, machinery or power used in, upon, for or about the performance of the Public Work contracted to be done, or to pay any person for any work or labor of any kind, or for bestowing skills or other necessary services thereon, or for amounts due under the Unemployment Insurance Code with respect to such work or labor, or for any amounts required to be deducted, withheld, and paid over to the Employment Development Department from the wages of employees of said CONTRACTOR and his or its Subcontractors pursuant to Section 13020 of the Unemployment Insurance Code with respect to such work and labor as required by the provisions of Section 9100 et seq. of the Civil Code, or for any amounts required to be deducted, withheld, and paid over to the Franchise Tax Board or Internal Revenue Service from the wages of employees of the CONTRACTOR or his or its Subcontractors, the Surety or Sureties hereon will pay for the same in an amount not exceeding the sum specified in this bond, otherwise the above obligation shall be void. In addition to the provisions herein above, it is agreed that this bond will inure to the benefit of any and all persons, companies and corporations entitled to serve stop payment notices under Section 9100 of the Civil Code, so as to give a right of action to them or their assigns in any suit brought upon this bond. The Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the said Contract or to the work to be performed thereunder or the Specifications accompanying the same shall in any way affect its obligations on this bond, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the Contract or to the Specifications. No final settlement between the Obligee and the CONTRACTOR hereunder shall abridge the right of any beneficiary hereunder, whose claim may be unsatisfied. CONTRACTOR and Surety agree that if the Obligee is required to engage the services of an attorney in connection with the enforcement of the bond, each shall pay Obligee's reasonable attorney's fees incurred, with or without suit, in addition to the above sum. IN WITNESS WHEREOF, we have hereunto set our hands and seals this day of , 20 PRINCIPAUCONTRACTOR: (Typed Name of CONTRACTOR) JIM (Signature) (Typed Name and Title) (Signature must be notarized) The rate of premium on this bond is $ SURETY: (Typed Name of Surety) By: (Signature of Attorney -in -Fact) (Typed Name of Attorney -in -Fact) (Signature must be notarized) The total amount of premium charged: $ (the above must be filled in by corporate surety). per thousand. IMPORTANT: Surety companies executing bonds must possess a certificate of authority from the California Insurance Commissioner authorizing them to write surety insurance defined in Section 105 of the California Insurance Code, and if the work or project is financed, in whole or in part, with federal, grant or loan funds, it must also appear on the Treasury Department's most current list (Circular 570 as amended). THIS IS A REQUIRED FORM. Any claims under this bond may be addressed to: (Name, Address and Telephone No. of Surety) (Name, Address and Telephone No. of agent or representative for service of process in California if different from above) SURETY ACKNOWLEDGMENT A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of On personally appeared before me, , who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature PRINCIPAL ACKNOWLEDGMENT A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of ) On before me, personally appeared who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature C — CONTRACTOR'S BID PORTOLA AVENUE STP REHAB PROJECT PROJECT NO. 672-13 CONTRACT NO. C34290 FEDERAL PROJECT NO. STPL 5414(012) TO: CITY OF PALM DESERT, "CITY" DATE: 10/14/I5 BIDDER. Hardy & Harper, Inc "CONTRACTOR" The UNDERSIGNED, "CONTRACTOR", having carefully examined the site and the Contract Documents for the construction of, PORTOLA AVENUE STP REHAB PROJECT, PROJECT NO. 672-13, CONTRACT NO. C34290, FEDERAL PROJECT NO. STPL 5414(012), hereby proposes to construct the work in accordance with the Contract Documents, including Addenda No(s). 1 for the amount stated in this Bid. WARNING — If addenda have been issued by the administering agency and not noted above as being received by the bidder, this Bid may be rejected. By submitting this Bid, CONTRACTOR agrees with CITY: That unless withdrawn in person by CONTRACTOR or some person authorized in writing by CONTRACTOR before the time specified in the Notice Inviting Bids for the public opening of bids, this Bid constitutes an irrevocable offer for 60 calendar days after that date. 2. The CITY has the right to reject any or all Bids and to waive any irregularities or informalities contained in a Bid. 3. That the contract shall be awarded only by the governing body of CITY. Said contract shall only be deemed awarded after the CONTRACTOR'S complete submission of all contract documents, bonds, insurance documentation, and the CITY shall obtain all necessary signatures of the governing body, at which time the contract shall be deemed awarded. 4. To submit to CITY such information as CITY may require to determine the Bidder's financial standing experience and to perform the work. 5. That the accompanying certified or cashier's check or Bid Bond constitutes a guarantee that if awarded the contract, CONTRACTOR will execute the Agreement and deliver the required bonds and certificates of insurance within 10 days after notice of award. If CONTRACTOR fails to execute and deliver said documents, the check or bond is to be charged with the costs of the resultant damages to CITY, including but not limited to publication costs, the difference in Page C-1 --m-w IRANFi, T ...... . . . . . I 000 RECEIVED TIME OCT.21. 4:51PM 17603417098 Palm Desert Public Works 16:42:47 10-21-2015 4 /4 The costs of any work shown or required in the Plans and Specifications, but not specifically identified as a Pay Item are included in the related Pay Item(s), and no additional compensation shall be due CONTRACTOR by virtue of CONTRACTOR'S compliance with the Plans and Specifications. TOTAL AMOUNT BASE BID IN FIGURES $ talk, ,QQQ-oo TOTAL AMOUNT BASE BID IN WORDS S1aC hUMVtd t1Mzhty -�(K JAf1 ucnlnrt od(_, IN WITNESS WHEREOF CONTRACTOR executed this Bid as of date set forth on Page C-1: / By: ` Sign ure Title: i A Notary Public or other officer completing this cerllficale verities only the identify of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of ) Subscribed and sworn to (or affirmed) before me on this day of (month), (year), by proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. Signature of Notary Page C-3 revised RECEIVED TIME OCT.2i, 4:51PM CAUFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 ® See Attached Document (Notary to cross out lines 1-6 below) ❑ See Statement Below (lines 1-6 to be completed only by do ment signer[s], not Notary) of Document Signer No. 1 Signature of Document Signer No. 2 (if any) A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange JO-ANN LYONS Commission # 2023055 Notary Public - California z = Orange County My Comm. Expires May 3, 2017+ Subscribed and swom to (or affirmed) before me on this 22 day of October , 20 15 by Date Morith/ Year (1)_ 4� (and (2) Name(s) of Signer(s) proved to me on the basis of satisfactory evidence to be theas, whoa eared bef me. r Signature Signature of Notary Public Seal Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Contractor's Bid Number of Pages: 3 Signegs) Other Than Named Above: Document Date: October 14, 2015 None 02014 National Notary Association - www.NationaiNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5910 0 D — INFORMATION REQUIRED OF BIDDER TO ACCOMPANY BID The bidder is required to supply the following information. Additional sheets may be attached if necessary. (1) Company Name Hardy & Harper, Inc (2) Address 1312 E. Warner Ave., Santa Ana, CA 92705 (3) Telephone No. 714-444 1851 (4) Type of Firm (individual, Partnership or Corporation) Corporation (5) Corporation organized under the laws of the State of California (6) Contractor's License No. 215952 Exp. Date 12/31/15 (7) Department of Industrial Relations Contractor Registration number: 1000000076 (8) List the names and addresses of all owners of the firm or names and titles of all officers of the corporation: Fred 1'. Maas, jr - President, Treasurer 1312 F. Warner Ave., Santa Ana, CA 92705 Dan'r. Maas - CEO 1312 E. Warner Ave., Santa Ana, CA 92705 Steve Kirschner - Vice President 13) 2 E. Warner Ave., Santa Ana, CA 92705 Kristen Paulino - Secretary 1312 E. Warner Ave.. Santa Ana. CA 97705 (9) Number of years' experience as a Contractor in construction work 52 (10) List at least three similar projects completed recently: Contract Amount Class of Work Date Completed Name, Address & Telephone No. of Owner 1. Please see attachment "H" 2. 3. Page D-1 Ei I of I- (11) Pursuant to California Public Contracting Code, Section 4100 et. Seq., the following list gives the name business address, and portion of work (description of work to be done) for each subcontractor that will be used in the work if the bidder is awarded the Contract, (Additional supporting data may be attached to this page. Each page shall be sequentially numbered, and headed "Proposed Contractors" and shall be signed.) The Bidder shall list all subcontractors who will perform work or labor or render service to the prime contractor in excess of one-half of one percent of the prime's bid. Failure to include the subcontractor's DIR registration number may result in the bid being reiected as non-resuonsive. Subcontractor's Name: h-V License Number: ,$(aq 55 L DIR Contractor Regis ation No. 100600 33(3 Business Address: 102-40 Sah S-_C v-y.rnt Wgd Tv ryOot V,4 l! [yT 115 2- Telephone: 4151- 4PI12 -10`I 1 Work Description:U(SA F ryLir.4 toldt;i o i g to pt6l't-_ Percent of Work: 3l/. cyt: t� Subcontractor's Name: foil S[ri at License Number: (c6539-7 DIR Contractor Registration No. lnn�ooI1 do Business Address: 9,04o a Cft a 14d , co l to h, c it.1 2 32, y Telephone: IM- 891- 7r 10 Work Descrigtiom-5 9h 1 n it i SI r(ot n a Percent of Work: -2- �• Subcontractor's Name TYg>t' I( J OOPS [ra License Number: (o5Zg5fo DIR Contractor Registration go. tOyoud 379�t Business Address: g4f(o C_ Ernzr-tea cam, <hna h�1i+nr^0 '7 zeo_ Telephone: l 01-5Z0'4 0L4 Work Description: f'Yaff1C f j q V+ a f l oop d f e ct - Percent of Mrk: Q;_, ,� (12) List the name of the person who inspected the site of the proposed work for your firm Me Arn M&M (13) A financial statement or other information and references sufficiently comprehensive to permit an appraisal of your current financial condition may be required by the City. (14) Co actor hereby swears and penalty of perjury that this information provided is tr rrect. By: Title: Steve Kirschner - Vice President ignature Contractor Page D-2 IL 2dF2 (11) Pursuant to California Public Contracting Code, Section 4100 et. Seq., the following list gives the name business address, and portion of work (description of work to be done) for each subcontractor that will be used in the work if the bidder is awarded the Contract, (Additional supporting data may be attached to this page. Each page shall be sequentially numbered, and headed "Proposed Contractors" and shall be signed.) The Bidder shall list ail subcontractors who will perform work or labor or render service to the prime contractor in excess of one-half of one percent of the prime's bid. Failure to include the subcontractor's DIR registration number may result in the bid being reiected as non -responsive. Subcontractor's Name: IcbS_ UYt1Itl Q License Number:Q 32-7 DIR Contractor Registration No. 11)6008E ffia Business Address: 132-0 t=. is ~'' Sf , 90-C I Qo t0iziri a C_ .,1287G Telephone: Work Description: j i1 r4ahh s it } jug [w w)d s_ Percent of Work: 5 r. Subcontractor's Name: t�l Ya dt License Number: DIR Contractor Registration No. Business Address: Telephone: Work Description: Percent of Work: Subcontractor's Name: License Number: DIR Contractor Registration No. Business Address: Telephone: Work Description: Percent of Work: (12) List the name of the person who inspected the site of the proposed work for your firm Mike Amvndcon (13) A financial statement or other information and references sufficiently comprehensive to permit an appraisal of your current financial condition may be required by the City. (14) Con actor hereby swears under penalty of perjury that this information provided is t corre/ct. By: 6 �` Title: Steve Kirschner - Vice President "Signature Contractor Page D-2 E — NONCOLLUSION DECLARATION To be Executed by Bidder and Submitted with Bid The undersigned declares: am the Vice President of Hardy & Harper, Inc the parry making the foregoing bid. The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or to refrain from bidding. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose. Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of the bidder. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on October loth , 20_5_, at Santa Ana 4 1 CA _ /7 n Stato- 2--VM X!/'eZ%®%"L� Signature Title: Steve Kirschner - Vice President CONTRACTOR Page E-1 F — BIDDER'S BOND Bond No. HARHA-2131 To Accompany Bid KNOW ALL MEN BY THESE PRESENTS, That we, Hardy & Harper, Inc. as principal, and Fidelity and Deposit Company of Maryland as surety, are held and firmly bound unto the City of Palm Desert in the sum of $10% (10% of bid) to be paid to the said City or its certain attorney, its successors and assigns; for which payment, well and truly to be made, we bind ourselves, our heirs, executors and administrators, successors or assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, that if the certain bid of the above bounden principal to perform certain work described as follows: PORTOLA AVENUE STP REHAB PROJECT PROJECT NO. 672-13 CONTRACT NO. C34290 FEDERAL PROJECT NO. STPL 5414(012) The general items of work to be done hereunder consist of: Cold Milling Asphalt, Cold In -Place Recycling, Asphalt Paving, Adjusting Manhole and Valve Frames and Covers to grade, Installing Traffic Signal Loop Detectors, Striping, Traffic Control, and other duties necessary for full execution of the project, and dated October 27, 2015 is accepted by the City of Palm Desert, and if the above bounden principal Hardy & Harper, Inc. shall duly enter into and execute a contract for such construction, and shall execute and deliver the Performance Bond and Payment Bond and insurance certificates as required by said contract, then this obligation shall become null and void; otherwise it shall be and remain in full force and effect. Should it become necessary for the City to institute a lawsuit, or any other legal proceeding to enforce the terms and conditions of this bond, then all costs of said proceeding, including attorney's fees, shall be awarded to the prevailing party. [Remainder of this page has intentionally been left blank. Signature blocks are contained on the next page] Page F-1 IN WITNESS WHEREOF, We hereunto set our Hands and Seals this 16th day of October 2015 Contractor's Name: __Jia�ft & Harper, Inc Contractor's Signature: be Notarized Title. Vice President Address: 1312 E. Warner Ave., Santa Ana, CA 92705 Telephone: 714-444-1851 Surety's Name:_ Fidelity and Deposit Company of Maryland Surety's Signature: Dwight Reilly Must be Notarized Title: Attomey-in-Fact Address: 777 South Figueroa Street, Suite 3900, Los Angeles, CA 90017 Telephone: (213) 270-0600 Page F-2 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of ORANGE ) On =October 22. 2015 before me, JO-ANN LYONS NOTARY PUBLIC , Date Here Insert Name and Title of the Officer personally appeared Steve Kirschner Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(w) is/a&- subscribed to the within instrument and acknowledged to me that he/swthey executed the same in his/her/their authorized capacity(ies), and that by his/har/their signature(!) on the instrument the person(yt), or the entity upon behalf of which the person(z) acted, executed the instrument. JO-ANN LYONS Commission * 2023055 Z Notary Public -1 alll z ornia z Orange County My Comm. Expires May 3, 2017 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS and and o al seal. Signature Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section Is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Bid Bond Document Date: October 16.2015 Number of Pages: 2 Signer(s) Other Than Named Above: Dwight Reilly Capacity(ies) Claimed by Signer(s) Signer's Name: Steve Kirschner O Corporate Officer — Title(s): VirP Pr,.godpnt O Partner — ❑ Limited O General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator O Other: Signer Is Representing: Hardy & Harper, Inc. Signer's Name: O Corporate Officer — Title(s): O Partner — ❑ Limited O General O Individual O Attorney in Fact ❑ Trustee O Guardian or Conservator ❑ Other: Signer Is Representing: ©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 Acknowledgment A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) ) County of ) On before me, personally appeared who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Acknowledgment A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate Is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of orange ) On 10/16/15 before me, Susan Pugh, Notary Public personally appeared Dwight Reill who proved to me on the basis of satisfactory evidence to be the person(jj) whose name(%) is/store subscribed to the within instrument and acknowledged to me that he/zk*1 W executed the same in hishm oltheir authorized capacity(!*, and that by his/hexAbeilk signature(ji) on the instrument the person(a), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature \"6/" 41\--� Susan Pugh SUSAN PUGH COMM.11=5405 n Page F-3 :/, i` ', :. : r.amry Public-Cnlifornia z } OPANGE COUNTY MIx Comm E+c irgt A r �9: �019_ Bond No. HARHA-2131 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by THOMAS O. MCCLELLAN, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which arc set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Daniel HUCKABAY, Dwight REILLY, Andrew WATERBURY and Arturo AYALA, all of Orange, California, EACH its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 8th day of September, A.D. 2015. ATTEST: ), 4 B1 ,� Secretary Eric D. Barnes ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND ORAL'' O t7" Vice President Thomas O. McClellan State of Maryland County of Baltimore On this 8th day of September, A.D. 2015, before the subscriber, a Notary Public of the State of Maryland, duly commissional and qualified, THOMAS O. MCCLELLAN, Vice President, and ERIC D. BARNES, Secretary, of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding insanmcnt, and acknowledged the execution of same, and being by me duly swom, dcposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, 1 have hereunto set my hand and affixed my Official Sol the day and year first above written. Constance A. Durm, Notary Public My Commission Expires: July 9, 2019 POA-F 012-00798 Acknowledgment A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document, State of California ) County of ) M before me, personally appeared who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Acknowledgment A Notary Public or other officer completing this certificate verifies only the Identity of the individual who signed the document, to which this certificate Is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) ) County of > On before me, personally appeared who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Page F-3 (THE BIDDER'S EXECUTION ON THE SIGNATURE PORTION OF THIS PROPOSAL SHALL ALSO CONSTITUTE AN ENDORSEMENT AND EXECUTION OF THOSE CERTIFICATIONS WHICH AREA PART OF THIS PROPOSAL) EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder Hardy & Harper, Inc , proposed subcontractor hereby certifies that he has X , has not , participated in a previous contract or subcontract subject to the equal opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 6047(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5 (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director. Office of Federal Contract Compliance, U.S. Department of Labor. Page K-19 DEBARMENT AND SUSPENSION CERTIFICATION TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 The bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated therewith in the capacity of owner, partner, director, officer, manager: • is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any Federal agency; • has not been suspended, debarred, voluntarily excluded or determined ineligible by any Federal agency within the past 3 years; • does not have a proposed debarment pending; and • has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility. For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action. Notes: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. Page K-20 NONLOBBYING CERTIFICATION FOR FEDERAL -AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) if any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly. Page K-21 DISCLOSURE OF LOBBYING ACTIVITIES DISCLOSi7RE OF LO MMM AGT7l7 M 1. T.pt of Federal Action: ` Status of rederal .Utiou: 3. Report T`pe: EDa att na M a. bid ofs9pplimm ® a mraal b gm b. imal amid b. mama ckmp c moyeadct ageemesrs c post -+wad d leee For Slataial Champ Oftlt: e bs panmee seat _ f kun msermae dam af hulas npett _. 1. \areandAddrrndRtpwtngEstitr S. It Rapw%wCEnderia,LAisSabawudm ® Eater Nacre � [� subr"rdec mad A3drea dPrint: rl !A I r .ifkroaa CarpvOiaaal District, if taw" L Federal DeparfaeWAcow►: L Frd" Arbea \saber, d b awl N/A IS- L .Yule sad Address dL&W Eatav (if mdsst&u ku name. Ali tome, w non e a.R*9..a1 District, ifl:nown 7. Federal haRL Naa�Decriptita: CMA Nsmrber, if appLnb1e 9. Award Aaama if loom MIA b. tativiiulr Pvtarairq Setsiras (usdidn A if drlracs from No 10e) (ka name. fam (OKI Ca*a ae %Z01) 3f--T) >]. Aaaa+t of Pnaest (elect aY rlst apply) !J. Ty w aI Parand (deck A dut apply) f-„MAX, _ ❑ actml ❑phssned it rwxm b oee ame f e LL F It Passe (deeck A ttuf apply): C. cmamtim A. crib d, ausupw fee b m-k tpedf) muse a I value f atbes. syr&v u. 8rid Dexripiea of Ser+sirn Pvrhrsard ar b be periwsard end Daoe(s) d Sertita, iaelad� adr mU), eaQigee(s et stumber(s) cna rtri for 1•aeaaet Ia&uced s Ues 11, r�� �D tta+di 3 rs`arper, Inc as not QL11d an�l fllrids 10 ar►-(one to C RAJ (avcb cmarsamoa Sbews) if aecesur) Is. cawww wwo Sieet(s) attubec la Ke ad. bhomm ngeseee 6moo eks tm: mdmxmd b nee 31 US C smism Im This &Kk ms aatiAbi - J anb.a+ era *tease b *e o. treat %A" Lis vnomm sssaui.ereen.. nnb.as....a■,be Psm¢NNW. .Sieve MtSfbaPJ Asrsee re 11 VS C 13 7)m aliaaeem saD . "Pse`c°�""�"a"'Q"°i'�"'�`�' Talc Vice Presidentrut � AsTrab .do Wt ee ik are sagmse (+c6ea a►efl r. a+lJsct b • aril }�akr dsoa tear eon ua,000 e.a.d m� a.a tioQeoo tQ.�s Qv► r>�. Te)epbooe No . 714 -444-1851 Dm 10/ Federal Use Only. Aatbmaed far focal 8rpraftm on Smadad Fa m - LLL Page K-22 L%STRUCFIO.*(S FOR cozu mo-, OF SF-" D1SCLOSEtREOFLOMT GACTL%TrIES Thu discloaae foam ;hail be coeapiated by me mporag waty, wheme tmbnradee or Pam Federal recg=L a1 the initiation or recap of cosesed Federal KUM or a material Chatnge to psemu fib pusaaal m risk 31 U S C saran 1352 The film= of s fate is regaind foe stick paymat or apeemem to tttake pa)merr o lobbting wrty for r 0-secmF a atteeapoa:e ro �^ �^�e en officer a empb)ee of aver apmcy' a)dembe of Conpeu u effue or eaplo)ee of CaaFms of as etapkM of s Mmbet of Cogmtt = camecnm wah a covered Federal amw Amcb a ccu masnoa shyer fat oddmmi l afamacon d the space an dLe fuoo u tmadrgtute. Complete all teeny that apply for bah the =fad 51nF and martemai dumps repots Refer To the attnpkmmm; pidsscs pobhtked by the Office of MAzaF®eel mad HudFet far addidmah anfortom m 1 Identify de type of cowed Fedeni amoa for whack lobbtm{ actrm u and or has been 16=ed to mfheace. the auteumt of it catrae . Federal xam ldemsfy the was of the cowed Federal acb= 3 Identify the appcopmu cUtufiun n of thaw repot If thus u a Wm -up report tauwd by a a>aatetal than ere w the infncmeanaa previously reported. enter the Rat and qua m wkscb the ckaap ouvarvd. Emu the date of the Ism prnwuslr mbaised report by thus repv=;: co wr for iris ce%wtd Federal action. Eater the folk rums. address. M. uue and err, code of the nporung eonrc Jtrkrde Conpuu=A D=m if known. Check the appapmu dx=ficsu= of the tvozw4 mmy that de4wes if d it a espects to be a pnme a eabatrad reapiem Idea* the rye of die mbawardee. e.g- the ft;t submudee of the prime u the frnt rite Stbmrdi indudsbu are net imam to wbcaatacts. sub pun ud cmuxi awuds under pun S If ike arpaainnon l9mF there repot is Item 4 checks 'Subawaidet' then enter the full come. addiets. ctry swt and zip code of the pane Ftdenl recipient W-Nde Cangessiooal Durrut dknown 6 Earns ale tome ed m Federal agency makmF de award a ban coma slaw fodder u 4iu one �*■ryas letd below apmey aama if knows, For rumple Deparaaem of Ttanspoeunoa Untied Sores Cast Guard Eater die Federal program rams a drinVo o for the covered Federal acnoo (ram 1) Uknowa. a ctia the full Catalog of Fdenl Dorn tLc Astasaanct (CFDA) n=be fa gaatt, tooperam! opemats. boas sad imao cc�mn 9 Enter the ri err appmpiate Federal rde=fymg taste atwlable for rat Federal acum idendfscas m in item 1 (e S- Yrgoeu fior Psopesal (UP) im uber. iamnon her ]lid (Wil) tiaaber, pant smarene mat omaber tht coonsn perm. or {era award rstffibet. the apphcmm?mposal coattol otaabet asupsed by the Federal arxv) Jachade pewfiaes. a g. Wp-DE-9Gd0I 9 Fa a covered Fe deal actio>t where dm bas been as award at Was caaamitmmt by the Federal agmq. enter the Federal ammtm of tit awardlnm cammi>mena for ere pane twirl rdesr5ed to uem 4 or 5 10 (a) Enter tke W acme. address, city. cute ad zip tale of the lobbytalt emry eapped by the apomal estav idesmbed m item 4 to talbenced de cornered Federal scam. (b) Emu the fold trames of the mehv%dual(s) pair+omb ser=n and tochide lldl address d dtfferent boon 10 (a) Eum Isu Nam Ftast X use and paddle Initial GAD) I I few the tumm a ampsi serum peal or reasmAbly apecred ea be paid by the iwpw=g etiary (ism 4) to the lobbyv g amity (item l0) TA&m wkebe the payment his been made (ackW) or will be made (planned) Check all boas that apply If this u a maternal chutgr tepost emu the cumulow ammnae arpa)mew made or planned n be made )1 Chadt ebe approprtue box Cheek aU boas that apply- i<payment u made thtatigh as is-kmd coambawn. tpecifp tba same ad raba of the m-kind payment 13 Clack the appn n = bm Check aU boas that apply If ether. sprafy oatae ) a Prande a speabc ad detatled descrrf+aem of to u noces that dae lobbna kas pedormed at tall be espe cted to pedotm and the elre{s) of asp ;tenter reladesttle! Include all prepmeary Lad related ecuniy cat jau cane spat m aetaa! eomacr wim Federal affitsais Idmafy de Federal officaa(s) or emplovee{s} coaracttA a the olbcer(s) emplmyet(s) a Member(s) of Coopers; nhae were contacted. 13 CbKk wbecaer team a cmamamen shet(s) is atached. 16 The rtrmfymb en'6tsah Shall sips and dam the foma gnat bliter a— irk tad i elephane ®ber Page K-23 Public re, onnea bead¢ for thu coBecnoa of n:bmumn u emmaed a eTape 30 mmarr: pu respaoaa ocLlAmF owe for mvwmg m=ucuw— KmdattS amstmg dau so=er. prhmq &M ma u=g the dan heeded, ad cn pk =g =d resv=; due toUKZM of abooaabm Smd coop seprdmi the bordm mare or =v otter aspect of this coIlectma of tgformmot mctadmg tat[Vsnms for sedbcmr this bmdm to the OSce of Maaapmect and %# t. Pspertmzk Redoctma Pmjea WAS-W6_ dashtnEsots. D C 20503 W414 ...r. a-:+... M" Page K-24 J — DISADVANTAGED BUSINESS ENTERPRISE This project is subject to Title 49 CFR 26.13(b): The contractor, subrecipient or subcontractor shall not discriminate on the basis of race, color, national origin, or sex in the performance of this contract. The contractor shall carry out applicable requirements of 49 CFR part 26 in the award and administration of DOT -assisted contracts. Failure by the contractor to cant' out these requirements is a material breach of this contract, which may result in the termination of this contract or such other remedy as the recipient deems appropriate. Take necessary and reasonable steps to ensure that DBEs have opportunity to participate in the contract (49 CFR 26). To ensure equal participation of DBEs provided in 49 CFR 26.5, the Agency shows a goal for DBEs. The DBE Goal is 2.0% Make work available to DBEs and select work parts consistent with available DBE subcontractors and suppliers. Meet the DBE goal shown elsewhere in these special provisions or demonstrate that you made adequate good faith efforts to meet this goal. It is your responsibility to verify that the DBE firm is certified as DBE at date of bid opening. For a list of DBEs certified by the California Unified Certification Program, go to: http://www.dot.ca.goy/ha/bep/find certfied.htm. All DBE participation will count toward the California Department of Transportation's federally mandated statewide overall DBE goal. Credit for materials or supplies you purchase from DBEs counts towards the goal in the following manner: 100 percent counts if the materials or supplies are obtained from a DBE manufacturer. • 60 percent counts if the materials or supplies are obtained from a DBE regular dealer. • Only fees, commissions, and charges for assistance in the procurement and delivery of materials or supplies count if obtained from a DBE that is neither a manufacturer nor regular dealer. 49 CFR 26.55 defines "manufacturer" and "regular dealer." You receive credit towards the goal if you employ a DBE trucking company that performs a commercially useful function as defined in 49 CFR 26.55(d)(1) through (4) and (6). Page J-1 ATTACHMENT H Owner/Agency PUBLIC WORKS REFRENCES 2013/2014 Contact Page I of 2 Project (Amount & Completion Date) City of Buena Park Wood Nousome Burnham Avenue Improvemnts 8150 Knott Avenue wnousome(cr�.buenagark.com Schedule A Project Buena Park, CA 90620 (714) 562-3750 ST-969 $229,113 12/14 City of Cypress Dario Simoes, P.E. Street Rehabilitation & Overlay 5275 Orange Avenue (714) 229-6694 Project No. 123 Cypress, CA 90630 dsimoesa@ci.cypress.ca.us $269,936 11/14 City of Tustin Eddy Jan, P.E. 2013-14 Roadway Rehab 300 Centennial Way (714)-573-3157 & Sidewalk Repair Project Tustin, CA 92780 eian@andaen.com CIP 70001 $1,491,543 12/14 City of Palos Verdes Jack Rydell, P.E. FY 14/15 Street Resurfacing 340 Palos Verdes Dr West (310) 378-0383 Project NIB-14-07 Palos Verdes Estates, CA 90274 iackrvdell caaprofessionals.c m $1,187,987 12/14 City of Chino Hills Anne Dutrey, P.E. FY2013-14 Street Improve- 140000 City (909) 364-2760 ments Project No. S14001 Chino Hills, CA aduyrey@chlnohflls.org $918,965 11/14 City of Hesperia Dwaine Latimer, P.E. Street Improvements and 9700 Seventh Avenue (760) 947-1434 Main Street Bridge Rehab Hesperia, CA 92345 dlatimerfti ofhesceria.us $1,184,570 01 /15 County of Los Angeles Public Works Jose Pou, P.E. 124th Street ET. Al. 900 S Fremont Avenue - (626) 458-2191 RDC0013372 Alhambra, CA 91803 Jpou dow.tacountY.gov $4,304, 600 12/14 City of Riverside Steve Howard Arterial Streets Maintenance 3900 Main Street (951) 826-5708 $4,444,000.00 03/14 Riverside, CA 92552 showard(Mriversideca,gov Minor Streets Maintenance $1,543,000.00 04114 Page 2of2 PUBLIC WORKS REFRENCES 2013/2014 County of Riverside Trai Nguyen Murrieta Hot Springs Road 3525 14th Street (951) 961-5363 $1,305,000.00 04/14 Riverside, CA 92601 Estelle & Grant Street Surfacing $838,000.00 03/14 Ctiy of Westminster Tuan Pham Brookhurst Street 8200 Westminster Blvd. tpham(@,westminster-ca.gov $1,116,920.00 12/13 (714) 548-3456 Westminster, CA 92683 County of San Bernardino J.D. Gayman San Bernardino Ave. 825 East Third Street (909) 387-7924 $1,577,000.00 06/14 San Bernardino, CA 92415 JDGayrnan0Ddpw.sbcounty.nov Wagon Train Road $202,000.00 05/14 Running Springs School $430,730.00 05/14 City of Pasadena Richard Yee Preventive Street Maintenance 100 N. Garfield Ave. (626) 744-4643 $1,558,717.00 06/14 Pasadena, CA 91109 City of Perris Brad Brophy Mapes Road/Gilmore Road 101 North "D" Street brad@trilakeconsultants.com $380,00.00 03/14 Perris, CA 92570 (951) 943-6504 City of La Mirada Gary Sanui Phase 3 Street Rehab 13700 La Mirada Blvd, sanui cityoflamirada.ora $1,075,484.00 06/14 (562) 943-0131 La Mirada, CA 90638 4 s ly sLo <C3 o� o[Jc o, E 1 C3 mtEEEl. T.L. EEE -- ` f N :7 YNQ � � 9 v wi VI 2-2 -ice f S 1 kk SLB 7v � � TI�I • 2 t Page J-15 my y m c 4= � Z 1. S 9 f f a r s s � o V g T 6 t a ^i a � L �f L_ V l O 7 ~ t N ^ t m � � � s�v Q g � 7 "99 ' Y a � s � � a � F ac }_ "t lox P ❑� < rA Ott! < O* 130 I j x � � C �m •^ � � al ii � � is o vI.-. � � a m e �o� a=C' �_s..^' E Eo '-iaaEEE�,••aa�EE�.�, E E 60 8 M Eo.E,r h y M H y, M N � M •rI M H M M M H/'. �• 1' r I i Y V r. �y �• �. �• •• �' J Y 1 .• Lp Y Via, o N N s Flo �E 1 w< w' � Page J-16 Tina Pham From: The Weekly Bid Flash <support@theweeklybidflash.com> Sent: Tuesday, October 20, 2015 8:42 AM To: Tina Pham Subject: Weekly Bid Flash DBE Ad Affidavit • Portola Avenue STP Rehab Project Proof of Publishing Affidavit To Whom It May Concern: Be it known that this is a sworn affidavit that Hardy & Harper, Inc. did place an advertisement we published on 10/20/2016 in our nationwide publications, Construction Star, Inc. and The Weekly Bid Flash, seeking Certified Disadvantaged subcontractors and/or material suppliers for the project Portola Avenue STP Rehab Project. A copy of the advertisement is below: Date Of Advertisement Placement. 1020/2015 8:42:04 AM Hardy & Harper, Inc. An Equal Opportunity Employer, is requesting quotations from all qualified DBE sub -contractors and material suppliers for the following project: Portola Avenue STP Rehab Project City/Location: Palm Desert County: Riverside Owner: City of Palm Desert Bid Date: Tuesday 10/272015 at 2:00 PM We are requesting bids for the following trades and/or supplies: Manhole, Cold Mill, Traffic Signal Loop, Striping, Bid documents can be viewed at or obtained from: We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. Hardy & Harper, Inc. 1312 East Warner Avenue Santa Ana, CA 92705 Phone: (714) 444-1851 Fax: (714) 444-2801 Tina Pham toham hardvandharner.com Published on 10202015 9:00:00 AM by The Weekly Bid Flash and The Construction Star Trade and Focus Publications located at www.theweeklvbidflash.com and www-wnslarl .com Phone:1.800.479.5314 Fax:1.619.688.0585 This solicitation Ad will run until the bid date Our publication is a listed approved source by the State of CA, Dept. of General Services, Office of Small Business Certification 8 Resources, in its Resource Packet. Since, 1989 our firm has been proud to help businesses reach Certified Disadvantaged firms statewide. If you should need any further information, please do not hesitate to contact us at 800-479-5314. Thank you again! Construction Bidboard Inc. 11622 El Camino Real, Suite 100 San Diego, CA 92130 www.theweeklybidfash.com 800-479-5314 Tina Pham From: Tina Pham Sent: Monday, October 26, 2015 2:10 PM Subject: Invitation to Bid Attachments: 20151014134805812.pdf, 20151014134913075.pdf, 20151014135001214.pdf; Addendum l.pdf Hardy & Harper, Inc. is seeking qualified DBE for Portola Ave STP Rehab Project Awarding Agency: City of Palm Desert Bid/Project #: 672-13 Location: Palm Desert, CA Bid Date/Time: 10/27/15 @ 2:OOPM Invitation Details: Traffic Loops, Striping, Manholes Attached you will find the Specs and Plans for this job. Thank you, TtK,a PkaVK Hardy and Harper, Inc. 1312 East Warner Avenue Santa Ana, CA 92705 Direct: (714) 352-7026 Office: (714) 444-1851 Fax: (714) 444-2801 westem Emulsions Friday, May 29, 2015 The following successful Cold In -place Recycling (CIR) projects have utilized Western Emulsions' recycling emulsion: Project: Canada Blvd Infrastructure Improvements #3446- CIR Agency: City of Glendale Project Engineer: Kevin Carter, P.E. - (818) 937-8256 KCarter(&_ci.gIendale.ca. us Dates: October 2014 Project: Frank Sinatra Blvd CIR Agency: City of Palm Desert Project Engineer: Ryan Gaylor P.E. - (760) 346-0611 rgayler _ci.palm-desert.ca.us Dates: September 2014 Pro ect _ Graves Avenue Phase II CIR Agency: County of Los Angeles Project Engineer: Greg Kelley - (626) 4584923 mailto:GKELLEYC&-dpw.lacounty.gov Dates: September 2014 Project: LTA Phase It Agency: County of Imperial Project Engineer: William Brunet — (760) 4824462 williambrunet(a-co.imgrerial.ca.us Dates: May 2015 Project: Sycamore Creek Loop Agency: San Bernardino County for Lannar Homes Project Engineer. Medhat Matta — (909) 387-8054 MMatta@dow.sbcountv.gov Dates: May 2015 Project: Caltrans 09-359004 - Route 190 near Olancha — August 2014 Project: Caltrans 11-2M6304 — Hwy 76 near— October 2014 Sincerely, Kevin Donnelly, APM Director, Pavement Preservation Western Emulsions, Inc. 3 Monarch Plaza, Suite 210 Dana Point, CA 92629 (949) 248-8020 (office) (949) 289-3632 (fax) (805) 886-0900 (cell) kevin(&westernemulsions.com NM, #351372 CA *672104 AZ *09)512 c r S 'STEMS 10240 SAN SEVAINE WAY, JURUPA VALLEY, CA 91752 PHONE: (951) 682-1091- FAX: (951) 682.1094 The following successful Cold In -place Recycling (CIR) projects have been completed by Pavement Recycling Systems, Inc.: Project: Canada Blvd Infrastructure Improvements #3446- CIR Agency: City of Glendale Project Engineer. Kevin Carter, P.E. - (818) 937-8256 KCarter0ci.glendale.ca.us Oates: October 2014 Project: Frank Sinatra Blvd CIR Agency: City of Palm Desert Project Engineer. Ryan Gaylor P.E. - (760) 346-0611 roavier0ci.oalm-desert.ca. us Dates: September 2014 Project: Graves Avenue Phase II CIR Agency: County of Los Angeles Project Engineer: Greg Kelley - (626) 4584923 mailto:GKELLEY(a)daw.lacountv.aov Dates: September 2014 Project: LTA Phase II Agency: County of Imperial Project Engineer: William Brunet — (760) 4824462 williambrunet(aD-co.imperial.ca.us Dates: May 2015 Project: Sycamore Creek Loop Agency: San Bernardino County for Lannar Homes Project Engineer. Medhat Matta — (909) 387-8054 MMatta(&dow.sbcounty.gov Dates: May 2015 Project: Caltrans 09-359004 - Route 190 near Olancha — August 2014 Project: Caltrans 11-2M6304 — Hwy 76 near — October 2014 Cold In -place Recycling (CIR) Quality Control, Contingency and Noncompliance/Remedial Action Plan Project Name, year City of Quality control management will be exercised by general contractor (GC) to ensure that cold in -place recycling (CIR) and placement conform to the project specifications. Process and quality control procedures to verify cold recycling is progressing per the specifications will be performed by laboratory and field personnel from . (QCF) and personnel trained and experienced from the recycling contractor, Pavement Recycling Systems, Inc. (PRSI). Extent of authority for QCF will be to report test results to Bowman and PRSI and work with the roller operators to assist in attaining the maximum density achievable. 'Their resumes and certifications are attached. Quality Control procedures will include sampling and testing to be performed at a rate sufficient to ensure that cold recycling, placement, compaction, and finishing conforms to the project specifications. QCF will serve as the Qualified Technician in accordance with the project specifications. Other separation of QC responsibilities as well as frequency of testing is outlined below and included in'rable 1. 'rhe Engineer will have unrestricted access to the laboratory, sampling, testing sites, and all information resulting from mix design and quality control activities. All QC testing results will be submitted to the Engineer on a daily basis. Prior to the start of recycling each morning, the meter and belt scale on the recycling mixing unit will calibrated by PRSI. Tlie belt scale will have the calibration weight attached and the computer span value zeroed to tolerance. The mass flow meter will be allowed to run and internally calibrate for 10 minutes after the "green" tolerance indicator is lit. To verify calibration, during the CIR operations PRSI's recycling operator will monitor and record the amount and percent of water added and the amount and percent of emulsion added for the first 100 tons of recycled material produced and for every lot thereafter. These quantities will be crossed check by PRSI against certified weight tickets of emulsion delivered to the project. PRSI will obtain two -quart samples of emulsified recycling agent from each load delivered to the project. One sample will be used for PRSI's quality control testing. PRSI will perform a sieve test in general accordance with ASTM D 244 to verify the emulsion is stable prior to using each load. The remaining sample will be delivered to the Engineer at the end of each working day. A Certificate of Compliance from the emulsion supplier shall accompany each shipment to the Project. During cold recycling operations QCF will monitor and record ambient temperature requirements and observe the recycled mix for uniformity of coating. Adjustments in the rate of emulsified recycling agent and water will be determined by QCF in conjunction with PRSI. Adjustments will be made as necessary based on the coating, compaction and breaking properties and field gradations. All adjustments will be documented by PRSi and approved by the Engineer. Cold recycling operations will not be performed during wet conditions or if rain is imminent or predicted to exist. "Imminent or predicted" is defined as being forecasted (showing) within a 48-hour period on the National Weather Service Web Site htip://ww%v.wrh.noaa.gov for the most representative and nearest location listed to the Project Site. Recycling and placement operations will not be performed unless the pavement temperature is a minimum of CO°F and ambient temperature is a minimum SOT and rising and unless the National Weather Service Web Site forecasts that the ambient temperature will be remain a minimum of 50°F until all recycling construction operations are completed for that day. In addition, recycling will not begin if the National Weather Service Web Site forecasts that the ambient temperature will drop below 35°F within a 48-hour period of completing the recycling operations. Recycling operations other than compaction will be completed a minimum of 2 hours before sunset. With all CiR work completed a minimum of 30 minutes before sunset. In the event recycling and placement operations are initiated and weather conditions deteriorate soon alier, then all traffic will be kept off the recycled material until weather conditions improve (temperature rises and Ituiltidity drops) and the recycled section has "cured" sufficiently for secondary compaction to take place in accordance with the requirements of the specification. The first pass of die recycle mill will start at the edge of the gutter. The width of the recycled pass will extend to at least 12.5-feet. Depending on the width of the pass a supplemental mill may be utilized to mill the edge and a potion of the lane, putting milled material in front of the recycle mill for pickup and processing. Upon completion of the first pass, the recycling train will round robin. Overlap into previous recycled passes will be at least 3-itiches. Recycling operations will progress at rate of 225 to 425 tons per hour. On the first day of operations, a test strip will be constructed. The test strip will be a single pass width, 1000- feet in length. The test strip section will demonstrate that the equipment, materials, and processes proposed will produce a recycled pavement material layer that conforms to the requirements of the special provisions. The test strip will also verify the optimal rates for emulsion and water recommended for the reclaimed asphalt pavement during the mix design and determine the sequence and manner of rolling necessary to obtain the maximum compaction by establishing a rolling vs. density chart that shows the progress of densification from initial laydown through maximum obtainable density at the "break over point' QCF will determine maximum density and relative compaction of the test strip by measuring nuclear gage density in accordance with ASTM D 2950 and computing the relative compaction. After verification of the test strip cold in -place recycling operations will continue through tine first day. I'lue project will be divided into lots of 2,500 square yards. The CIR operation will be controlled as follows: I. PRSI will measure and record the recycle depth at each end of the milling drum at least once every 350 feet along the cut length. 2. PRSI will verify water added to facilitate the uniform mixing of the emulsion and the cold milled material is between 0.5 and 5.0 percent of the weight of the recycled pavement mixture per the approved mix design unless a greater variation is determined necessary. 3. PRSi will verify the amount of emulsified recycling agent will be within 0.5 percent of the job mix formula established in the mix design for the CIR mixture. 4. QCF will measure the in -place density, and relative compaction for the lot in accordance with ASTM D 2950. During in -place density testing of the compacted recycled pavement, the nuclear gauge will be set to the recycled section thickness. The average in -place density will be used to calculate the relative compaction. The relative compaction will not be less than 95 percent or greater than 105 percent of the maximum density obtained in the test strip, or a new test strip maximum density will be determined. Tile roller pattern will be selected that produces the densest recycled pavement without causing shoving, displacement or cracking. The need to allow some cure time between roller passes will be determined by QCF. 5. QCF will sample the recycled material behind the recycling equipment for each lot to verify that the reclaimed asphalt pavement meets the allowable I -inch maximum particle size, the test results will be reported immediately to the Engineer. 6. On the first sample and every third sample thereafter QCF will perform a wet field gradation for material passing the I -inch through No. 4 sieves. The sieved sample will be compared by PRSI to (lie gradation band determined from the mix design and the emulsion will be adjusted as needed. For each lot, PRSi will report daily the following information on the form attached herewith: I . Length, width, depth of cut; and calculated mass (tons) of reclaimed asphalt pavement processed. 2. Amount of emulsion added (tons), and the amount of emulsified recycling agent added compared to the total mass of the reclaimed asphalt pavement processed in the lot (percentage). 3. If any changes were made to water and or emulsion content and the reason for the change and where such changes were made. For each lot, QCF will report daily the following information on the form attached herewith: 1. Maximum particle size of the recycled material. 2. Nuclear gage readings of in -place density and calculated relative compaction based on the maximum density defined by the most appropriate rolling vs. density chart. 3. Copy of the roiling vs. density chart containing time and location of test strip that is basis for relative compaction calculations. 4. Ambient and compacted recycled surface temperatures. After initial compaction has been achieved, and prior to opening the recycled pavement mixture to traffic, a fog seal coat will be applied by PRSi to the recycled pavement surface at a rate of approximately 0.08 to 0. 1 0-gaWsquare yard of dilute (1: l) emulsified recycling agent, SS 11i or equivalent. The final rate of application will be such that a stable and safe roadway surface can be maintained until the recycled surface is overlaid. The fog seal will be covered with sand at a rate of i to 2 pounds per square yard by GC. in (lie event that excess sand is allowed to buildup it will be removed from the pavement surface by sweeping. Hand sweeping will utilized as possible to minimize damage to a freshly recycled surface. However, a mechanical sweeper will be maintained at the project site for use if needed. Care will be taken if the mechanical boom is utilized. After a minimum of 2-days of curc, QCF will verify the moisture content of the in -place recycled pavement. Upon the verification that the residual moisture of the in -place recycled pavement is below 2.00/a the recycled pavement will be recompacted by GC using compaction equipment outlined in the project specifications. QCF will conduct nuclear testing in accordance with ASTM D 2950 and determine the sequence and manner of rolling necessary to obtain the maximum compaction by establishing a rolling vs. density chart that shows [lie progress of densification from initial rolling through maximum obtainable density at the "break over point". The rolling pattern will be selected that produces the densest recycled pavement without causing shoving, displacement or cracking. GC personnel will verify thickness of the recycled pavement with probes. The finished surface and grade of the recycled material will be checked regularly during placement by GC using a 10-foot straight edge. 1"he smoothness will not vary by more than 3/8-inch under the straight edge. GC will correct humps or depressions exceeding this tolerance by rerolling, trimming and/or abrasive grinding. fable 1 — Separation of OC Responsibilities QC Responsibility Responsible Porty Calibration of Plant PRSI Verify and Document, Water, Emulsion and RAP, Quantities and % PRSI Make Changes in Emulsion % PRSI/QCF Document Changes in Emulsion % PRSI Obtain and Sieve Gnulsion Samples PRSI Monitor and Record Ambient Temperatures QCF Conduct Sieve Analysis, Field and Lab QCF Compaction Testing of Recycled Material, including Roller Pattern and Timing QCF Verify Thickness of Compacted Recycled Pavement GC Verify Smoothness of Compacted Recycled Pavement GC Verification of Curing is Complete QCF Verification of Rerolling Compaction QCF CONTINGENCY PLAN Recycling Unit (Cold Mill, Crushing/Sizing Equipment, Proportioning Equipment and Pugmill) - In the event one of the above breaks down, the paving and compaction equipment shall remain operating to properly place the CIR material still in the windrow. If the above equipment cannot be repaired within the roadway prior to end of the road closure, the equipment shall be towed from the roadway. All CIR material that has not been properly compacted in accordance with the project specifications and/or damaged due to the equipment removal shall be removed from the roadway. The affected areas shall be neatly trimmed with straight edges and all loose material removed. The removed areas shall be filled with hot mix asphalt or temporary bituminous surfacing in accordance with the project specifications. Water, Emulsion, and Supply Equipment - In the event one of the above breaks down, the recycling unit, paving and compaction equipment shall remain in operation to properly place the CIR material still in the windrow. The recycling unit, paving and compaction equipment may continue to operate until the onboard storage within the recycling unit is exhausted. If the equipment has not been repaired, all recycling operations shall cease until such time the above is repaired or replaced. In the event the recycled pavement is damaged due to the equipment removal, the damaged recycled pavement shall be removed from the roadway. The affected areas shall be neatly trimmed with straight edges and all loose material removed. The removed areas shall be filled with hot mix asphalt or temporary bituminous surfacing in accordance with the project specifications. Paving Equipment (Paver and Windrow Elevator) - in the event one of the above breaks down, the recycling operation shall cease and wait for the paving equipment to be repaired. If the above equipment cannot be repaired within the roadway prior to end of the road closure, the equipment shall be towed from the roadway. 'The existing CIR material windrow may be used to fill the milled excavation with a skip loader, motor grader or similar type blade equipment providing that the CIR material is workable and compaction is such that the surface will remain stable after the road closure is lifted. If the CIR material is not workable, will not be stable after release to traffic, or in the event the recycled pavement is damaged due to the equipment removal, the damaged recycled pavement shall be removed from the roadway. The affected areas shall be neatly trimmed with straight edges and all loose material removed. The removed areas shall be filled with hot mix asphalt or temporary bituminous surfacing in accordance with the project specifications. When recycling operations resume all material that was not paver placed and compacted in accordance with the project specifications shall be re -recycled. Compaction Equipment (Steel Roller and Pneumatic Roller) - In the event one of the above breaks down, the recycling operation shall immediately cease and wait for the compaction equipment to be repaired. If the above equipment cannot be repaired within the roadway prior to end of the road closure, the equipment shall be towed from the roadway. The existing paved recycled material shall be compacted with the roller still in operation providing that the compaction is such that the surface will remain stable after the road closure is lifted. If the recycled material will not be stable after the release to traffic or in the event the recycled pavement is damaged due to the equipment removal, the damaged recycled pavement shall be removed from the roadway. The affected areas shall be neatly trimmed with straight edges and all loose material removed. When recycling operations resume all material that was not compacted in accordance with the project specifications small be re -recycled. Fog Seal or Sand Spreader Truck - In the event one of the above breaks down, the recycling operation shall cease and wait for the equipment to be repaired. if the above equipment is not able to be repaired within the roadway prior to end of the road closure, the equipment shall be towed from the roadway. The recycled pavement shall be allowed to cure as long as the road closure remains in effect. When traffic is released to the roadway a mechanical broom shall be available to remove any raveled material until the roadway becomes stable. If the CIR material is not stable and/or damaged due to the equipment removal it shall be removed from the roadway. The affected areas shall be neatly trimmed with straight edges and all loose material removed. The removed areas shall be filled with hot mix asphalt or temporary bituminous surfacing in accordance with the project specifications. NONCOMPLIANCVREMCDIAL ACTION PLAN Although not anticipated for this project since proper QC procedures will be followed, in the unlikely event that damage to the recycled layer occurs or quality characteristics and placement procedures are not in conformance with the project specifications remedial actions shall be implemented. The remedial actions shall be in accordance with Noncompliance/Remedial Action Plan as outlined in 'fable 2. Table 2- Noncompliance/Remedial Action Plan Noncompliance Remedial Action Cl It equipment not adding the proper amount Suspend recycling operations. Make proper adjustments to of emulsified recycling agent and/or additive. CIR equipment and/or personnel. Upon proper adjustments re -recycle affected areas. CIR mixture in windrow not uniform in Suspend recycling operations and check pugtnill and paddles. appearance. Slow operation so as not to "out run" the mixing capabilities. Re -recycle affected areas. CIR material not performing as specified due Suspend recycling operations. 'rest all materials. if all to poor performance of the emulsified materials are within specification, consult mix design lab to recycling agent and/or additive. make adjustments. if materials are not in conformance with project specifications remove from site and provide new materials that meet specifications. Re -recycle affected areas. Paving operation not paving to the proper Suspend recycling operations. Make proper adjustments to line and/or grade. paving equipment and/or personnel. Upon proper adjustments re -recycle affected areas. Completed CIR pavement compacted and Cross-reroll if effective. Grind as necessary. Replace stable in accordance with the project damaged areas with IgMA. specifications but irregular or rough surface. Excessive or low compaction readings Establish new test strip and determine new rolling pattern and maximum obtainable density. Isolated areas of minor raveling or scuffing. Sweep and monitor. Determine if re -fag sealing necessary to protect. Isolated areas of major raveling, scuffing or Maintain better traffic restrictions in areas that are not cured. tearing. Sweep and monitor. Determine if re -fog scaling necessary to protect. Remove and replace deep damaged areas with HMA prior to overlay. Large scale areas of raveling, scuffing or Increase emulsion content in future recycles areas. Remove tear1114 in straight traffic areas due to low and replace with I-IMA or re -recycle long areas. emulsion content. Large scale areas of raveling, scuffing or Suspend recycling operations until environmental conditions tearing in straight traffic areas due to poor improve. Protect currently recycled areas with increased weather or environmental conditions traffic closures and/or sweepers. Upon improved resulting in slow cure. environmental conditions re -recycle affected areas or replacement with FIMA. Dimpling due to parked vehicles or Isolated fill with HMA prior to overlay. equipment. Permanent deformation within wheel path Initiate rerolling sooner in future recycled areas. Provide areas due to secondary compaction by traffic. leveling/fill course of HMA prior to overlay. Permanent deformation and shoving due to Suspend recycling operations. investigate pavement structure unstable mix. in conjunction with mix design lab. Decrease emulsion content in future recycles areas, change emulsified recycling agent or additive and/or supplement with uncoated aggregate as determined necessary. Depending on investigation remove and replace affected areas with HMA or re -recycle supplementing with uncoated coarse aggregate, additives and/or emulsified recycling agent as necessary. Smoothness requirements not met Profile grind to allowable tolerances. PAVEMENT RECYCLING SYSTEMS, INC. 10240 San Sevaine Way, Jurupa Valley, CA 91752 (P) 951-682-1091 (F) 951-632-1094 CT 109 SPECIFICATION S California Test 109 STATE OF CAI.IFGRNIA—BUSINESS, TRANSPORTATION AND HOUSING AGENCY May 2004 DEPARTMENT OF TRANSPORTATION DIVISION OF ENGINEERING SERVICES Transportation Laboratory 5900 Folsom Boulevard Sacramento, California 95819-4612 METHOD FOR TESTING OF MATERIAL PRODUCTION PLANTS CAUTION: Prior to handling test materials, performing equipment setups, and/or conducting this lest method, testers are required to read Section F, "SAFETY AND HEALTH" in Parts 2, 3, 4, 5A, 5B and Part 6 "Material Plant Safety Inspection" of this test method and Part 11 of California Test 125. It is the responsibility of the user of this method to consult and use departmental safety and health practices and determine the applicability of regulatory limitations before any testing is performed. A. SCOPE The procedures used for testing and approving material production plants and the proportioning devices used in the plants are described in this method. This method is divided into the following parts: 1. General Procedure for 'resting and Approving Weighing and Measuring Devices 2. Test Procedure for Hopper Scales 3. Test Procedure for Liquid Metering 4. 'rest Procedure for Conveyor Scales 5. Test Procedure for Vo:umetric Proportioning Plants 6. Material Plant Safety Inspection PART 1 - GENERAL PROCEDURE FOR TESTING AND APPROVING WEIGHING AND MEASURING DEVICES A. GENERAL The purpose of this test method is the approval by Caltrans personnel of material plants supplying construction materials to Caltrans projects. The duty of the Caltrans Weights and Measures Coordinator (WMC), within the context of this test method, is to oversee the implementation of the testing and inspection of material production plants. It is not the responsibility of the Caltrans person to direct the contractor's operation or to operate any of the controllers or proportioning devices connected with material production. The inspection of the plant for conformance with the: requirements of the contract specifications may be performed concurrently with the calibration of installed proportioning devices and, ultimately, the approval of the material plant. This work may proceed in any order, but it is envisioned that initial plant inspection and device calibration will be conducted on the first plant visit and subsequent visits may be needed to finalize the approval of those items found deficient initially. B. PLANT INSPECTION - 1 - Perform a complete inspection of the plant. All devices and procedures required by Caltrans specifications, for the production of the material in question, shall be in place and in full working condition before the completion of this California rest (Cl') 109. Testing for CT 109 shall not be complete until all material plant equipment and devices have met the requirements of the Standard Specifications, Contract Special Provisions, and CT 125. Attention is also directed to Section 7- 1.06, "Safety and Health Provisions" of the Standard Specifications. If the dynamic testing of the material plant is not completed on the initial plant site visit, the contractor shall notify the WMC, no less than 10 calendar days in advance of production startup, for the completion of the dynamic testing of plant facilities. If the dynamic testing has not been completed before the as -notified plant start up time, the WMC may issue a "Start-up Approval" letter to allow the beginning of material production until such time as the dynamic testing can be completed. The time between actual production start up and completion of dynamic plant testing shall not exceed 14 calendar days. The WMC will extend the time for dynamic testing when the delay is due to Caltrans scheduling. The test acceptance sticker CP-CEM-0017, or equivalent, shall only be issued upon the satisfactory completion of the plant dynamic testing, proportioning device testing, and the plant inspection. A dynamic test shall be performed before acceptance of the equipment's accuracy. 1. Dynamic testing of batch type plant proportioning devices shall include the following: a. Interlocks - Review individual batch masses to ascertain the performance of the batch controller in regards to interlock tolerances. The controller must batch within the tolerances allowed by the specifications for zero tolerances and draft cutoff tolerances for the product being produced. For more information on the procedure of checking the 2- California Test 109 May 2004 viability of batch controller interlock functions, refer to the Weights and Measures Handbook. b. Material Leakage - No ingredient leakage shall occur that would alter the accuracy at the point of measurement. Material leakage is determined by visual inspection by holding a batch mass for a short time and see if the indicated mass is changing. The "weight inspect" feature of the batch controller will stop the batch process long enough to see if material is leaking from the gates. Ingredient Ratio - For asphalt concrete (AC), batch masses are to produce a mixture where the binder content is a percent of the dry aggregate not a percent of the total mix. The batch controller shall be programmed to deliver the correct binder ratio. d. Batch Lockout - During an extended interval, 45 min or more, observe and note the percent of batches in which one or more drafts are outside of the specified zero or cutoff tolerances. Specifications do not allow the acceptance of any batched ingredient draft that is out of tolerance unless corrected by removing or adding material. A well -adjusted batch plant should have no more than 5 of the drafts in an out of tolerance condition. Device Functionality - During mix production, note the functionality of thermometers, silo cutoffs, load ticket generation, surge batehers, wasted mix handling, moisture meters and cold feed control. Delivery Tickets - Review the printing of ingredient batch masses on the portland cement. concrete (PCC) delivery ticket. The actual, as batched, PCC masses are to be printed on the delivery ticket as required by specification. Where AC delivery tickets arc generated from batch masses, refer to Section 39-8.01, "Measurement," of the Standard Specifications for a list of requirements for this type of operation. Refer to the Weights and Measures Handbook for more data on delivery tickets. 2. Dynamic testing of continuous mixing type plant proportioning devices shall include the following: a. Ingredient Ratio - While the plant is operating at the planned production rates, see that the plant controller is maintaining the correct ingredient ratios. Observe the rate and total for the aggregate being used and compare it with the rate and total for the binder (asphalt, lime, cement, etc). The length of time used to check the functionality of plant controller will differ depending on the production rate of the plant in question, but a timed test of at least 10 min will be needed. A significant difference here would indicate a need for recalibration of individual proportioning devices or a problem with the blending capabilities of the plant controller. Resettable totalizers for individual ingredients are required by the specifications for the material being produced. b. Specific Gravity - Where applicable, ensure that the correct specific gravity for the binder being used has been input into the plant controller. The specific gravity reported by the refinery will have to be SIB California Test 109 May 2004 verified by the Transportation Laboratory (Transl.ab) testing. c. Moisture Correction - Ascertain whether the aggregate moisture system is functioning properly. Where there is a separate indication of wet aggregate delivery, compare this to the dry aggregate delivery as displayed on the plant controller. Where there is no separate display of wet aggregate usage during an aggregate only check -run, change the input aggregate moisture by a nominal amount (say 3 %) and note the appropriate change to the indicated aggregate delivery rate. Moisture is computed as a percent of the dry aggregate, refer to CT 226 or CT 370, and Standard Specifications Section 39 3.02, "Drying." d. Multiple Indication - Where there are multiple indicators for like ingredients see that the multiple indications are within specifications. Refer to specifica- tions for continuous mixing material production for the maximum allowable difference for like indicators. Errors displayed on like indicators, multiple indication for the same material delivery, is an indication of mismanagement of the proportioning process. Material leakage - No ingredient leakage shall occur after the point of measurement. Material leakage is determined by visual inspection. iviatcrial leakage and, conversely, material storage after the point of measurement are detrimental to continuous proportioning accuracy. Device Functionality - During mix production note the functionality of all required devices and procedures. These items include, but are not limited to, the following: thermometers, silo cutoffs, load ticket generation, surge batchers, wasted mix handling, low -flow and no -flow interlocks, material mixing, mix handling, moisture control and cold feed control. 3. Dynamic Testing of Volumetric Proportioning Systems a. Observe the production process while using the as calibrated ingredient delivery rates. b. The required follow-up and spot testing is adequate for the dynamic testing of the rapid strength concrete. (Sec Part SA, Section C2 of this test method.) 4. Review all items used for material production, as identified in the specifications that may affect mix quality. This will include all areas where Caltrans specifications require a device or procedure. Areas of the plant site where Caltrans personnc. frequent shall be inspected for adherence to CAL - OSHA requirements. Use a plant checklist for the specific plant type in question. Check with the WMC at the Caltrans Headquarter Division of Construction (HQ Construction) for checklist. availability. C. PROPORTIONING SYSTEMS CALIBRA- TION AND APPROVAL Perform a pre -test inspection of the weighing and measuring system and controls. 1. Identification: Note and record manufacturer's name, model number and serial number. 2. Approval: Determine whether the device, system or control has been either type -approved for commercial use in the State of California in California Test 109 May 2D04 accordance with the requirements of the California Department of Agriculture, Division of Measure- ment Standards (DMS), or has been tested and approved previously by Caltrans HQ Construction. An approved list of weighing and measuring devices, system and controls, including AC continuous mixing plants, will be maintained by HQ Construction. If the device, system or control is not included in the current list, CT 109 should not be performed. The manufacturer of the device must request either type -approval by the DMS if a commercial use is intended, or set a date for a Caltrans inspection for approval through HQ Construction if the device, system, or control is to be used non -commercially. NOTE 1: Refer to the Weights and Measures Handbook for a discussion of commercial/non commercial devices and the role of' the DMS. 3. Ascertain whether the indicating and recording elements are compatible with their intended use and are located properly. 4. Make a visual inspection of the device's details; i.e., levers horizontal and free from binds, linkages and connectors hanging plumb, counter -masses free from other moving parts and secured from random movement, knife edges and pivot points clean and free from binds, badly worn or otherwise defective parts. Any faulty condition affecting the plant functionality that can be detected visually shall be corrected before continuing with CT 109. D. DEVICE TESTING -4 - A test shall be performed upon each newly installed, repaired or relocated weighing or measuring device, or when any elements of the device have been adjusted. All weighing, measuring and plant -control systems used on batch type plants must be tested for accuracy at least once a year or upon each repair or moving of the plant to a new location. Continuous mixing plants, including AC, liquid antistrip and lime treatment, must be tested for accuracy at least once every six months or upon each repair or moving of the plant to a new location. Volumetric proportioning plants shall be tested at an interval as required by the appropriate pro�ect special provision. In any case, any device shall be tested as often as deemed necessary by the Engineer. The test is completed by checking other fixed points, such as intermediate points during a build-up test or corner loading on a batch weigh hopper. At the option of the Engineer, certain of the above steps may be eliminated. The total test load shall be at least equal to the intended operating capacity. if an automatic batching system with remote indicators is used, these remote indicators become the primary indicators. Commercial class test masses shall be compared to California State Standards and certified by an authorized representative of the DMS. 'These standards shall conform to the specifications and tolerances for commercial standards as established by National Institute of Standards and Technology (N1ST). The frequency of comparison shall conform to the current DMS field reference manual. The contractor shall be responsible for providing access, all modifications, special equipment and labor necessary to perform the inspection and testing. The contractor shall notify the Engineer at least 24 hrs in advance of testing the device, system or controls. The Engineer or WMC will witness the testing, including witness scale error testing, -5- California Test 109 May 2004 and record the necessary information on Form CEM-0014, or equivalent. A copy of the CEM-0014, or equivalent, is to be sent to HQ Construction immediately. Another copy is to be furnished to the contractor and Resident Engineer. The Engineer will affix a CEM-0017, or equivalent, (departmental sticker) on each proportioning device found to be accurate by the testing and after successfully completing the dynamic testing and plant inspections. The CEM-0014, or equivalent, record sheet should contain the time required to perform the testing. The Engineer will seal all adjusting elements that change the measuring device's accuracy upon witnessing acceptable accuracy of the device. Any time these seals are broken, without the Engineer's witnessing that there has been no change in the adjusting elements, the measuring device shall be retested for accuracy and resealed after being found accurate. Refer to Standard Specifications Section 9-1.01, paragraph 4, "Measurement of Quantities." The owner of the device is responsible for providing the means to seal the: device. All interlock settings shall be tested for accuracy. Refer to the Weights and Measures Handbook for more information on the testing of interlock tolerances. There shall be a manufacturer's manual of operating instructions available at the control panel of each automatic batching or continuous mixing control system. This manual shall contain the procedure for checking interlock -tolerance settings and means of determining span - adjustment settings for computerized controls. Where automatic controllers are used, the manual shall contain a detailed procedure of how to set controller parameters that meet Caltrans specifications. A detailed listing of items to be included in the manufacturer's operating manual is in the Weights and Measures Handbook. A build-up test may be used in conjunction with test masses to check a weigh batcher or vehicle scale's high range. When a buildup test is required to complete the check, the contractor shall notify the Engineer sufficiently in advance to obtain approval of the build- up method intended to be used. NOTE 2: See Build-up Test, Part 3. All attachments to the scale that are necessary for material production shall be attached during the test of the weighing system's accuracy. PART 2 - TEST PROCEDURE FOR HOPPER SCALES A. GENERAL Scale mounted tanks used to weigh liquid products shall be tested and calibrated as required for scale mounted hoppers in this CT 109. B. INSPECTION 1. Inspect the scale in accordance with the requirements of Part 1. Beam scales shall not be used for batch operations. 2. Inspect the load cells installed in the weigh system. In multiple load cell applications, the load cells shall be of the same value on the same device. Load cell values shall be of appropriate value for the intended use. C. TESTING EQUIPMENT AND PROVISIONS 1. Test masses, certified as per this CT 109, in an amount needed to satisfy the scale capacity shall be available. 2. An electronic load cell simulator, where automatic batch controllers are in use, shall be supplied by the contractor. This device facilitates the rapid inspection and testing of the zero and cutoff tolerances required of these controllers. The load cell California Test 109 May 2004 simulator shall have the range and sensitivity to suit the parameters of the device being tested. D. DEVICE TESTING AND CALIBRATION -6- 1. Check oscillations of indicator (where applicable). Oscillations in the indication shall not exceed two scale graduations. 2. Set the zero -load balance after all equipment needed for the scale testing has been installed on the scale. 3. At dial type mechanical indicators: a. Lock the dial. Release locking mechanism; indicator should return to zero. Repeat procedure several times. b. Lock the dial and shake the hopper or tank. c. Release locking mechanism; indicator should return to the starting point. 4. Corner and section test. Inspect the scale system, including levers, load cells, bearing points and hoppers. Correct any adverse condition that could affect the device's accuracy (such as damaged or altered parts or altered factory adjusted settings). Where the hopper or tank can be loaded off center a corner and section test shall be made. To accomplish a corner or section test, a test load equal to 25 % of the scale's capacity shall be concentrated at each of the main bearing points and 50 % of the scale's capacity on a main section. 5. Apply test loads at 25 %, 50 %, 75 % and full capacity. a. Record the mass indicated at each loading and note the amount of error in mass and graduations. The maximum allowable error shall be two scale graduations. b. When applicable, lock the dial and release locking mechanism. The scale shall repeat indicated mass within one minimum graduation. c. Remove load and indicator should return to zero. If the scale does not return to zero look to problems such as sluggish bearing points, dead loadcells, or leaking material gates. In dealing with the error in returning to zero, keep in mind the maximum allowable error in this scale test is two graduations. NOTE 3: The Engineer may require other intermediate loads. NOTE 4: The Build -Up Test - When there are not sufficient known masses available to test the weighing system to full capacity or means to hang all such masses, the Conti -actor must provide an acceptable means of building up or substituting other mass in place of the known masses. The build-up method is as stated below. The build-up method for hopper scales is to replace a portion of the known mass with material (aggregate or other product used during production). This is done by first hanging available known masses (test masses) to at least 1 /4 of scale's capacity and calibrate the scale system to this known mass. Remove the known mass and replace it by placing an equal mass of material in the hopper (equal to but not in excess of test load of known mass applied above), then add the known mass again to the built-up mass. This procedure is repeated as necessary to attain capacity, but the total build-up mass may not exceed three times the known mass. - 7 - California Test 109 May 2004 An example of an acceptable build-up test follows: Condition: 10,000 kg aggregate weigh hopper - scale agency has only 2500 kg of certified test masses. All recording is to be done on Dorm CEM-0014, or equivalent. Apply the 2500 kg of certified test masses. Record indicated mass. Record plus or minus error (indicated mass relative to known mass applied, 2490 kg indicated = - 10 icg error; 2510 kg indicated = + 10 kg error); and remove known masses. Place 2500 kg of substituted mass (aggregate) into the weigh hopper being careful that it is applied evenly to all corners of scale. Do not exceed the mass indicated in step 1. Record the true mass. Indicated mass minus error recorded in step 1. (A minus error in step 1 is added to indicated mass for true built-up mass and a plus error in step 1 is subtracted from indicated mass for true built-up mass.) In other words, 2490 kg indicated is equal to 2500 kg actual mass in the first instance and 2510 kg indicated is equal to 2500 kg actual mass in the second instance. Reapply the 2500 kg of test masses to the partially loaded hopper. Record applied known mass equal to 2500 kg plus recorded true built-up mass of 2500 kg - 5000 kg. Record mass indicated and plus or minus error, as in step 1, and remove test masses. 4. Add more material in weigh hopper equal to the test masses removed. Do not exceed previous indicated mass. Record the true built-up mass using same procedure as given in step 2. 5. Reapply the 2500 kg of test masses and add the true built-up mass from step 4; record the newly applied test load, 7500 kg. Record the indicated mass and the algebraic difference from the applied test loads, as in step 1, and remove the known test masses. 6. Add more material in weigh hopper equal to the test masses removed. Do not exceed the previously indicated mass in step 5. Record the true built-up mass using the same procedure given in step 2. 7. Reapply the 2500 kg of certified test masses and add the true built-up mass from step 6; record the newly applied test load, 10,000 kg. This completes the application of test load to full capacity of scale. Record the mass indicated and the algebraic difference on Form CEM- 0014, or equivalent. Any procedure of building -up mass that doesn't follow the aforementioned methods is not acceptable. E. REPORT AND SECURITY SEAL At the conclusion of a successful test of proportioning devices, record the span - adjustment settings and make them available to the plant inspector. Where the device does not produce a record of adjustment, span number or other indication of adjustment, the device shall be left in a secure condition by the placing of a physical security seal. Refer to Section 9-1.01, paragraph 4, "Measurement of Quantities," of the current Standard Specifications. (See Note 10.) F. SAFETY Test masses are heavy and unforgiving. Do not place yourself in danger by being too close to the activities during the act of lifting and lowering of test masses. Lifting chains and come-alongs can and do break under the load of the test masses. Californla Test 109 May 2004 PART 3 - TEST PROCEDURE FOR LIQUID METERING A. GENERAL -8. When the liquid meter system includes a separate stand-alone controller, this independent controller shall be the only controller used for the testing and calibration of the liquid meter. The calibration procedure shall be separate from and not used with the main plant controller. After the successful testing of the separate, stand-alone device, the main plant controller shall be adjusted to track the calibrated proportioning device, exactly. NOTE 5: An example of this would be the Micro Motion mass -flow meter. The meter is supplied with its own transmitter. This separate, stand-alone metering device is calibrated and then the controller that handles the combined plant function is adjusted to track the meter transmitter. The same could be true of a Ramsey weighbelt controller. Where the meter is not supplied with the means of self -calibration, the main plant controller will have to be used for the liquid meter testing and calibration. The meter manufacturer's name and model number shall be identified on the device identification plates. This identification shall be on the meter proper and the meter transmitter on multiple part meters. A copy of the DMS approved type -approval shall be supplied with the meter. The liquid meter shall meet the requirements of Part 1 of this CT 109. Meter by Mass - The device that allows the measurement of the flow of liquids by mass {weight) is called a mass -flow or coriolis effect meter. This device records and indicates the measured amount of liquid passing through it in mass units without the need for input of temperature or specific gravity of the measured product. Refer to the Weights and Measures Handbook for more information on mass flow meters. ltleter by Volume - This type of device measures the liquid product volumetri- cally. The device records and indicates the measured amount of liquid passing through it in volume (gallons or liters). In some applications this measurement will have to be manually converted to mass and may require the input of temperature and unit mass (specific gravity) of the liquid. Volumetric meters installed at continuous mixing AC plants are required to have automatic temperature compensation (ATC). B. INSPECTION All meter installations shall be inspected visually for proper connections and conditions before tests for accuracy are performed. The meter installation shall be in accordance with the meter manufacturer's instructions, a copy of which shall be furnished to the Gngincer. All meters shall have been type -approved by the DMS prior to use. Inspect for leakage. 2. Indicators for all proportioning devices shall be in the plant control room. Indications shall be clear, definite, accurate and legible under normal conditions of operation of the system. Where there is no control room associated with the material plant, the proportioning device displays shall be grouped to facilitate their reading from one location. Deliveries shall be indicated and recorded in kilograms, tonnes, pounds, tons, liters, gallons and decimal subdivisions thereof. The indication shall display a rate meter and a resettable totalizer. The indication for the mass -flow meter shall be in mass, volume shall not be acceptable as a unit of measurement. California Test 109 May 2004 0. Mass -flow type meters are required by Caltrans specifications for the measurement of lime slurry and rubber -modified asphalt binder and are acceptable for all other liquid measurements. C. TESTING EQUIPMENT AND PROVISIONS 9- The liquid meter shall be tested in the operating location in which it is to be used with all operating conditions prevailing. The meter system shall be tested under normally expected environmental conditions. The testing shall be rescheduled when weather conditions are such that the witness scale indicator fluctuates by more than two graduations. The metering at AC plants system shall be operated in the circulate mode for at least 15 min just prior to testing to heat and thoroughly fill the system before the start of calibration. 2. 'Pest drafts shall be weighed on a platform scale located at the proportioning plant. The under support for the platform scale used for the test standard shall conform to the requirements of the Standard Specifications, Section 9 -1.01, "Measurement and Payment." Witness scales shall have been type approved by the DMS prior to use for device calibration. The platform scale shall be error tested within 8 hrs of' the calibration. furor testing shall be performed with test masses conforming to this CT 109 and shall produce a witness scale that is within two graduations of the test mass load. Refer to the Weights and Measures Handbook for a description of platform scale error testing. The contractor shall provide a suitable container capable of receiving the full flow of material being delivered from the meter for the calibration procedure. The meter installation shall be plumbed to facilitate the diversion of the test draft to a container suitable for the size of the required test draft. All parts of the meter system shall be free of leaks of calibration liquid or air. Leaking or loss of testing material during the calibration run at any place between the liquid storage and test mass determination on the witness scale shall cancel the testing until the malfunction can be corrected. Any physical change of the meter system shall require a restart of the calibration procedures. Product flow rates used during device testing shall be commensurate with anticipated production flow rates. Requirements for minimum test draft size, witness scale capacity and witness scale graduations shall comply with Table A, "Meter Testing Extremes." (Table A attached.) (Sec Note 6.) 5. Device plumbing shall be such that the Engineer can clearly ascertain that none of the liquid passing through the meter during calibration is being diverted before entering the test draft container. 6. Tank Scales - Some plant configura- tions may include a scale -mounted tank for calibration use. This tank may be used as the witness scale provided it meets the requirements of Table A, "Meter Testing Extremes," and all other requirements for witness scales and calibration containers in this CT 109. 7. Provers - A prover is a calibrated vessel with a capacity suitable to the test draft as per Table A. A prover may be used to calibrate water meters provided the calibration draft size adheres to the requirements of Table A, "Meter Testing Extremes." California Test 109 May 2004 b. Provers shall meet the require- ments of the DMS. c. The prover shall be maintained in a level position throughout the test run. 8. A standardized thermometer must be available to check the temperature of the liquid at the time of testing where volumetric metering is being utilized without automatic temperature compensation. A stopwatch will also be needed. D. DEVICE TESTING AND CALIBRATION -10- 1. Where the test draft used for calibration is 1150 liters or less, the testing parameters shall conform the requirements of 'fable A, "Meter Testing Extremes," for limitations to test drafts and witness scales. Large Draft Option At the option of the contractor, a large -draft calibration test may be used. When the Contractor chooses to use a test draft that does not comply with Table A, "Meter Testing Extremes," the minimum test draft shall be 4 tonnes. This large draft option shall require a vehicle scale, located at the proportioning plant, as the calibration witness scale. Error -test the required vehicle scale with test loads of known mass. Error testing must be completed no more than 8 hrs prior to testing the accuracy of the proportioning devices. A build- up method may be used to error -test that portion of the scale capacity in excess of 25 % of its operational limit. The minimum graduation of the vehicle scale's indicator shall not be greater than 0.01 tonne. Error testing shall produce a witness scale that is accurate to within two graduations of the test. mass load. When the newly error -tested witness scale is isolated from uses outside of the device calibration, it will not have to be retested for a period of 7 days provided it remains undisturbed and free of errors. Refer to the Weights and Measures Handbook for details on error testing scales. 2. Immediately before starting the series of test runs for the meter calibration, it will be necessary to send calibration liquid through the system to "dirty the system," or bring the calibration path to an as - used condition, being careful to leave the system at the same degree of "empty" for all test runs. This exercise is to have the meter system in the same condition for all of the test runs, including the first one of the series. Always reset the totalizer to zero and re -tare the calibration container before starting the calibration procedure before each test run. When weighing the test draft on the witness scale, be aware that hoses, ropes and other paraphernalia hanging from or on the calibration container may have an effect on the accurate weighing of the test draft. If fill hoses are left attached to the calibration container during the weighing process, the witness scale may have to be error tested again after the hoses have been softened by the hot asphalt. 3. Record the position of the meter's span number (calibration constant) for each test in the series. Each series of tests shall consist of at least three runs of a minimum quantity, as required by Table A, "Meter Testing Extremes" or the Large Draft Option, each at rates of flow commensurate with rates of flow anticipated during production. NOTE 6: Commensurate Rate Example - Where the liquid is to be used in a asphalt concrete mixture, apply the bitumen ratio from the proposed job -mix formula to the aggregates flow rate to determine asphalt binder flow rate, or in the Californla Test 109 May 2004 case of lime slurry treatment of AC aggregates, the ratio of lime slung to aggregate. The three calibration rates should be at 100 %, 65 % and 30 ". - of the maximum flow anticipated during production. 4. The meter totalizer must be read with the indicator at rest. Totalizer readings shall not be made on the fly. The meter totalizer indicator shall start from, or return to, zero and shall not advance its indications before delivery of material. No zero creep shall be allowed. S. At the end of the individual test run, tog the amount measured by the liquid meter, the value from the meter totalizer, or the mass delivered as indicated by the process controller. The meter indication for the measured liquid for any individual test run shall be compared with the mass determined by weighing the measured liquid on the previously error tested witness scale. All determinations of accuracy shall be made by comparing metered results with actual results from the witness scale. Error calculation is E = A - M, where E is error for the run, A is the actual mass of the liquid as determined on the witness scale, and M is the mass of the liquid as determined by the proportioning device, the meter. Percent error calculation is: %E (E/A)xI00. Average error for the: device is the combined percent error for runs a, b and c divided by 3. If the metering dev:cc is adjusted before completion of the three calibration runs, the test is aborted and a new series must be initiated. Error limits shall be as per the requirements of Table A, "Meter Testing Extremes." 6. Always check the rate indicator against the totalizer's indicator for at least a 1-min interval. Time the interval with a stopwatch. The indicated rate should track the rate determined from the totalizer. A rate meter is a digital display of the speed of the operation - tonnes per hour, liters per minute, etc. A totalizer is a digital display of the mass delivered in tonnes, liters, etc. 7. Volumetric Conversions - Where the meter is of the volumetric type, a conversion for temperature and/or unit mass may have to be made. a. Unit Mass - The initial specific gravity for product to be metered must be obtained from the material source (the refinery in the case of asphalts) and verified. The specific gravity shall be determined for the specific lot of asphalt to be used in the calibration process. if at the initial determination of specific gravity there is some doubt as to the specific gravity value, the contractor will have to decide whether to use the available number or wait until a value can be produced by the TransLab before calibrating the device. If the contractor chooses to wait, the sampled product will have to be kept in storage until the calibration is completed. At the time of testing the meter, take a sample of the asphalt and immediatefv send it to the TransLab for determination of its actual specific gravity. Request results for specific gravity only with an e-mailed answer. NOTE 7: If the confirmed specific gravity is such that the previously tested meter's accuracy is within 0.5 %, the meter may be adjusted without running subsequent accuracy tests. if the adjustment requires more than a 0.5 '% change, a new series of tests of the asphalt meter shall be run. 12- California Test 109 May 2004 b. Temperature Correction - Hot ingredients must be reduced to a baseline temperature of 15"C (607) for the purpose of converting to mass. The conversion factors for asphalts can be found in Section 93, "Liquid Asphalts" of the Standard Specifications. The temperature of the liquid shall be constant during individual test runs in order to permit converting the baseline temperature. When a mass -flow coriolis effect meter is used, no specific gravity will be needed as no conversion will have to be done. 8. Method used to calculate the percent of error for the test run where no automatic temperature compensation is present: a. Reduce the metered hot volume to baseline (15"C or 60"F) metered volume by multiplying the indicated volume from the meter totalizer by the multiplier shown in Conversion Table 1 of Section 93 of the Standard Specifications. b. Convert the baseline temperature metered volume to metered mass by using the specific gravity of the calibration liquid. c. The differential between the metered mass and the actual mass equals the test run error. NOTE 8: When meter indication has been compensated for thermal change: by an automatic tempera- ture compensator (to 15°C or 60'F baseline) or when a mass -flow meter is used, it is not necessary to make a hot -liters calculation. d. Determine the percent of meter error thus: The test run error divided by the actual mass equals the test run percent error times 100. [100 times (calculated metered mass minus actual mass) divided by the actual mass.] EXAMPLE: 2176.6 L of asphalt metered at 135°C weighs 2041 kg. The specific gravity of the asphalt at 15'C is 1.020. Determine the percent of meter error using the mass of asphalt as the measuring standard. Step a. 2176.6 x 0.9266 m 2016.84 Step b. 1.00 x 1.020 = 1.020 kg per L Q 15°C x 2016.84 = 2057.17 Step c. 2057.17 - 2041 = 16.17 Step d. 16.17 / 2041 = 0.8 % NOTE 9: The specific gravity at varying temperatures may have to be furnished by the manufacturer of the product in conjunction with TransLab. E. REPORT AND SECURITY SEAL At the conclusion of a successful test of proportioning devices, record the span - adjustment settings and make them available to the plant inspector. Where the device does not produce a record of adjustment, span number or other indication of adjustment, the device shall be left in a secure condition by the placing of a physical security seal. Refer to Section 9-1.01, paragraph 4, "Measurement of Quantities," of the current Standard Specifications. NOTE 10: When testing continuous miring AC plants with computer contro' systems, the means of observing the input settings for span adjustment will be a digital display. The manufacturer shall supply the instructions indicating the procedure for displaying, setting and securing device adjustments and security seals. The HQ Construction will be responsible for reviewing all new proportioning systems for acceptability and supplying the instructions for inspection of each system accepted for use in producing material for Caltrans projects. California Test 109 May 2004 F. SAFETY 1. The test draft container shall be sized to absolutely prevent overflow during testing. 2. Extreme attention must be directed to the high temperature liquids that may be used during these calibration attempts. These liquids may be at temperatures in excess of 220°C. Do not loiter in the area of the teeter and its plumbing while the test is being ran. The inspection of this area should be completed before the start of calibration or between test runs for subsequent inspections. The liquid being used for testing of the proportioning devices is often at high temperature and/or high pressure. Be alert to the movement of vehicles during the testing operation. Numerous tests may be running simultaneously with multiple vehicles moving about. PART 4 - TEST PROCEDURE FOR CONVEYOR SCALES A. GENERAL Part 4 applies to all conveyor scale applications. The continuous conveyor scale (weighbelt) shall meet the requirements of Part i and Part 5 of this CT 109. B. INSPECTION 13- The manufacturer's name and model number shall be identified on the model identification plate. 2. The scale and the conveyor at the scale shall be protected from the wind and weather. 3. The installation shall be in accordance with the scale manufac- turer's instructions and a copy of the instructions shall be furnished to the Engineer. The incline of conveyor must be positioned such that there is no slippage of material along the conveyor. 5. Footings for weighbelt must be PCC and shall conform to the requirements of Section 9-1.01, "Measurement of Quantities," of the Standard Specifications. 6. Indicators for all proportioning devices shad be in the plant control room. Indications shall be clear, definite, accurate and legible under normal conditions of operation of the system. Where there is no control room associated with the material plant, the proportioning device displays shall be grouped to facilitate their reading from one location. Deliveries shall be indicated and recorded in kilograms, tonnes, pounds, tons, liters, gallons and decimal subdivisions. C. TEST EQUIPMENT AND PROVISIONS The weighbelt shall be tested in its operating location with all operating conditions prevailing. The scale shall be tested after it is installed on the conveyor with which it is to be used. The conveyor shall be tested under normally expected environ- mental conditions. The testing shall be rescheduled when weather conditions are such that the witness scale indicator fluctuates by more than three graduations. 2. Any physical change of the belt scale shall require a restart of the calibration procedures. Changes that may trigger retesting the device include, but are not limited to: a component of the: conveyor or belt scale is changed, adjusted, or altered; the conveyor incline angle is changed; the physical location of the belt scale is changed. If the conveyor California Test 109 May 2004 has been idle for a period of 2 hrs or more, the empty conveyor shall be run for not less than 25 min before the start of the testing. 3. The contractor shall provide a suitable container capable of receiving the full flow of material being delivered from the weighbelt for the calibration procedure. This calibration container shall be readily portable. 4. Leaking or loss of testing material during the calibration run at any place between the weighbridge and determining the test mass on the witness scale shall cancel the testing until the malfunction can be corrected. The testing procedure shall not lose excess product into the atmosphere. 5. The contractor shall designate the maximum production speed for the device being tested. The successfully tested calibration speeds become the production speed limits. Intermediate testing ranges shall be as required in Table B, "Conveyor Scale Testing Extremes" as applied to the maximum production speed. (Table B attached.) D. DEVICE TESTING AND CALIBRATION The calibration procedure may be by prc-weighing or post -weighing the testing material on the witness scale. When a preweighed test load is passed over the weighbelt, the conveyor -loading hopper must be examined before and after the test to assure that all the material used for the calibration check actually passed over the weighbelt. in either type of operation, it may be necessary to run calibration material through the system to "dirty the system," or bring the calibration path to an as -used condition, being careful to run the system to the same degree of "empty" for each test run. 2. Before the start of the calibration procedure, a zero -load test shall be conducted and the device shall be calibrated to manufacturer's recommendations. Set the zero -load condition with the conveyor in motion and with all necessary attachments for normal operation in place. If zero creep is present, it must be self -compensating positive readings compensating for negative readings. 3. The calibration medium shall be the same type of material that wil: be used in production. 4. Witness Scale The witness scale shall meet the requirements in Table B, "Conveyor Scale Testing Extremes." Error -test the required scale to be used as the test standard with test loads of known mass. (Refer to Part 1, Section D.; This must be done within 8 hrs prior to the beginning of testing the accuracy of the proportioning devices. A build-up method may be used to check that portion of the scale capacity in excess of 25 % of its operational limit. Error testing shall produce a witness scale that is accurate to within two graduations of its calibration test mass (known test mass and build-up mass if used). When the newly error tested witness scale is isolated from uses outside of the device calibration, it will not have to be retested for a period of 7 days provided it remains undisturbed and free of errors. Refer to the Weights and Measures Handbook for details on error testing of witness scales. NOTE 11: When testing production plants with computer -control systems, the means of observing the input settings for the numerical security seal (span number) is normally a digital display. The manufacturer must supply the instructions on how the span numbers for the adjusting elements are displayed and calibrated. The HQ Construction will be responsible for - 15. California Test 109 May 2004 reviewing all new proportioning systems for acceptability and supplying the instructions for inspection of each system accepted for use in producing material for Caltrans projects. Where the adjusting elements do not produce a numerical security scat, the device shall be left in a secure condition by the placing of a physical security seal by the District WMC. Refer to Section 9-1.01, paragraph 4, "Measurement of Quantities," of the Standard Specifications. Always check the rate indicator against the totalizer indicator for several intervals of l min or more. Time the interval with a stopwatch. The indicated rate should be within 1 'A of the rate determined by the totalizer. Check the current specifications for the product being produced to determine the maximum allowable error for like indicators. 6. When the weighbelt system includes a separate stand-alone controller, this independent controller shall be the only controller used for the testing and calibration of the weighbclt. The calibration procedure shall be separate from and not used with the main plant controller. After the successful testing of the separate, stand alone device, the main plant controller shall be adjusted to track the calibrated proportioning device, exactly. (See Note 5.) Where the weighbclt is not supplied with the means of self -calibration, the main plant controller will have to be used for the weighbclt testing and calibration. Refer to the Weights and Measures Handbook for more information about plant controller interface with individual proportion- ing controllers. 7. In the event the material production rate is to exceed 365 metric tonnes per hour (Iv1TH) (402 tonnes per hour), the high speed calibration attempt may be a set of two runs of 2 min each for each calibration rate greater than 365 NITH. The average error for each pair of runs shall not exceed 1.0 %. This average high- speed error shall be used as the high-speed result. 8. Record span -adjustment setting and reading of the weighbelt's totalizer before each test run. Divert the test flow of calibration material into the calibration container directly from the feeder belt at each of the designated rates. Each series of tests shall consist of at least three runs of at least the minimum quantity stated in Table B, "Conveyor Scale Testing Extremes." The empty mass (tare] of the calibration container shall be determined at the beginning of each test run. Any loss of material during the test run shall be cause for starting the test run over. 9. The difference between the mass accumulated on the weighbelt totalizer (metered) and the mass indicated on the witness scale when the calibration container is weighed (actual) is divided by the actual mass to determine the percent error for the calibration run. The average percent error for the three test runs is the sum of the deviations of the three individual test runs divided by 3. If the device is adjusted before completion of the three calibration runs, the test is aborted and a new series must be initiated. Device error shall be within the limits expressed in Table 3, "Conveyor Scale Testing Extremes." E. REPORT AND SECURITY SEAL At the conclusion of a successful test of proportioning devices, record the span - adjustment settings and make them available to the plant inspector. Where the device does not produce a record of adjustment, span number or other California Test 109 May 2004 indication of adjustment, the device shall be left in a secure condition by the placing of a physical security seal. Refer to Section 9-1.01, paragraph 4, "Measurement of Quantities," of the current Standard Specifications. F. SAFETY 1. Be alert to the movement of vehicles during the testing operation. Numerous tests may be running simultaneously with multiple trucks moving about. 2. Place yourself in an area that is completely free of the cold feed bins, feeder conveyor, weighbelt and truck loading areas during the time of testing. PART 5 - TEST PROCEDURE FOR VOLUMETRIC PROPORTIONING PLANTS Part 5A - Volumetric RSC (Rapid Strength Concrete) Proportioning A. GENERAL The delivery rate of aggregate and cement per revolution of the aggregate feeder shall be calibrated at appropriate gate settings for each batch -mixer truck used on the project and for each aggregate source. B. INSPECTION Inspect the batch -mixer trucks for compliance with the contract special provisions. C. TESTING EQUIPMENT AND PROVISIONS 16 - Calibration tests for aggregate, cement and water proportioning devices shall be conducted with a platform scale located at the calibration site. This platform scale shall have a maximum capacity not exceeding 2.5 tonnes with maximum graduations of 0.5-kg. The platform scale shall be error tested within 8 hrs of calibration of batch -mixer truck proportioning devices. Error testing shall be performed with test masses conforming to this CC 109 and shall produce a witness scale that is within two graduations of the test mass load. The scale and all other equipment needed for the calibration of proportioning systems shall be available for use at the production site throughout the production period. 2. The batch -mixer truck shall be equipped so that an accuracy check can be made prior to the first operation for the project and at any other time as directed by the Engineer. Further calibration of proportioning devices shall be required every 30 days after produc- tion begins or when the source or type of any ingredient is changed. A spot calibration shall consist of calibration of the cement proportioning system only. A two run spot recalibration of the cement proportioning system sliall be performed each time 50 tonnes of cement has passed through the batch -mixer truck. Should the spot recalibration of the cement proportioning system fall outside the limitations specified herein, a full calibration of the cement proportioning system shall be completed before production resumes. Ingredient indicators shall be in working order prior to commencing proportioning and mixing operations, and shall be visible when standing near the batch -mixer truck. D. DEVICE TESTING AND CALIBRATION Aggregate Proportioning - Batch - mixer trucks shall be calibrated at three different aggregate gate settings that are commensurate with production needs. Two or more calibration runs shall be required at each of the different aggregate gate California Test 109 May 2004 openings. Aggregate belt feeder shall deliver aggregate to the mLxer with such volumetric consistency that deviation for any individual aggregate delivery rate check -run shall not exceed 1.0 °' of the mathematical average of all runs for the same gate opening and aggregate type. Each test run shall be at least 500 kg. Fine aggregate used for calibration shall not be reused for device calibration. 2. Cement Proportioning The cement proportioning system shall deliver cement to the mixer with such volumetric consistency that the deviation for any individual delivery rate check -run shall not exceed 1.0 % of the mathematical average of three runs of at least 500 kg each. Cement used for calibration shall not be reused for device calibration. 3. Water Proportioning - Refer to Part 3, Test Procedure for Liquid Metering. The water meter shall be equipped with rate -of -flow indicators to show the rate of delivery and a resettable totalizer so that the total water introduced into the mixture can be determined. 'fhe totalizer shall not register when the water metering system is not delivering water to the mix. 4. Liquid admixtures shall be proportioned by a meter. This meter shall be tested as per Part 3 of this CT 104. E. REPORT AND SECURITY SEAL 17- A Certificate of Compliance in conformance with the provisions in Standard Specifications, Section 6-1.07, "Certificates of Compliance, shall be furnished with each delivery of aggregate, cement, and admixtures used for calibration tests, and shall be submitted to the Engineer with a certified copy of the mass of each delivery. The Certificate of Compliance shall state that the source of materials used for the calibration tests is from the same source as to be used for the planned work. The Certificate of Compliance shall state that the material supplied conforms to the Standard Specifications and the Special Provisions, and shall be signed by an authorized representative who shall have the authority to represent and act for the contractor. At the conclusion of a successful test of proportioning devices, record the span -adjustment settings and make them available to the plant inspector. Where the device does not produce a record of adjustment, span number or other indication of adjustment, the device shall be left in a secure condition by the placing of a physical security seal. Refer to Section 9-1.01, paragraph 4, "Measurement of Quantities," of the current Standard Specifications. F. SAFETY Rotating and reciprocating equipment on batch -mixer trucks shall be covered with metal guards. Be very careful around these trucks when they are mobile. Part 5B - Test Procedure for Volumetric Pave- ment Seal Production Equipment A. GENERAL Slurry seal mixer -spreader trucks proportion aggregate and emulsion by volume. Due to possible changes in aggregate obtained from different sources, each truck must be calibrated for each source at least once every six months. A greater frequency may be necessary, especially with equipment changes. 2. Inspect the mixer -spreader trucks to ensure compliance with the requirements of Section 37 of the Standard Specifications, this California Test 109 May 2004 CT 109, and all applicable Standard Special Provisions. B. INSPECTION Inspect the batch -mixer trucks for compliance with the contract special provisions. C. TESTING EQUIPMENT AND PROVISIONS For the test standard, error -test a section of a vehicle scale located within 3 miles of the aggregate stockpile. (Refer to Part 4, Section D-4. 1 The mixer spreader truck shall be equipped so that an accuracy check can be made prior to the first operation for the project and at any other time as directed by the Engincer. 3. Ingredient indicators shall be in working order prior to commencing proportioning and mixing operations and shall be visible when standing near the batch -mixer truck. D. DEVICE TESTING AND CALIBRATION .18 1. Aggregate Belt Rate Determinations Preweigh a loaded truck and run at least 3 tonnes of aggregate from the truck mounted hopper, over the belt, and through the pugmill. Register the number of counts on the aggregate belt - feeder revolution counter. Rewcigh the truck after the test run, divide the net mass change by the revolutions counted and reduce the results by the moisture content of the aggregate being used for the calibration to obtain a dry kilogram of aggregate per revolution. Note 12: What you have after here is the number of dry kilograms of aggregate delivered to the pugmill per unit of the aggregate belt -feeder revolution counter. The type of count does not matter as long as it relates to aggregate belt -feeder movement - it may be different for each truck. The important final product of this calibration is the ability to determine the ratio of kilograms of dry aggregate to the kilograms of emulsion, corrected for temperature, while operational. b. Continue this operation for a total of three runs at the approximate gate setting to be used during the production of slurry seal. None of these three runs should deviate from their combined mathematical average by more than 1.0 `5b. After using the above procedure to establish belt -feeder delivery consistency, do two more runs that bracket the initial delivery rate. These two runs and the average of the first three runs should produce a straightline plot. NOTE 13: An alternate aggregate calibration option is to capture the material leaving the mixer -spreader truck, without loss, and deposit it into a container. The procedure then shall be as for volumetric PCC equipment as in Part SA, Volumetric RSC Proportioning. 2. Emulsion Pump Rate Determination. Use the test standard, vehicle scale, as set up for the aggregate test. a. Preweigh a mixer -spreader truck, empty of aggregate, loaded with emulsion to be used for the contract. Run at least 1200 L from the truck mounted emulsion storage through the emulsion pump and into a separate tank. The aggregate belt -feeder must run in an empty mode in order to make -19- California Test 109 May 2004 the aggregate belt -feeder revolution counter functional. Register the number of counts on the counter. Reweigh the mixer -spreader truck after the test run, divide the net mass change by the revolutions counted, and reduce the results for any major temperature correction to obtain a corrected kilograms of emulsion per unit of the aggregate belt -feeder revolution counter. b. Continue this operation for a total of three runs at the approximate emulsion rate to be used during the production of slurry seal. None of these three runs should deviate from their combined mathematical average by more than 2.0 %. The average of the results produced by these three test runs shall be used for the emulsion pump rate determination for use in operational calculations. if the contractor elects to use a variable rate emulsion pump, continue the test with the following procedure. After using the initial three test runs to establish the emulsion pump delivery consistency, do two more runs that bracket the initial delivery rate. The results of these two runs and the average of the first three runs should produce a straightline plot. c. Check that the emulsion pump and all plumbing arc free of leaks. Check the thermometer in the emulsion storage tank with a standardized thermometer. 3. Water Meter - Refer to Part 3, 'Pest Procedure for Liquid Metering. E. REPORT AND SECURITY SEAL At the conclusion of a successful test of proportioning devices, record the span - adjustment settings and make them available to the plant inspector. Where the device does not produce a record of adjustment, span number or other indication of adjustment, the device shall be left in a secure condition by the placing of a physical security seal. Refer to Section 9-1.01, paragraph 4, 'Measurement of Quantities," of the current Standard Specifications. F. SAFETY Rotating and reciprocating equipment on mixer -spreader trucks shall be covered with metal guards. Be very careful around these trucks when they are moving. PART 6 - MATERIAL PLANT SAFETY INSPECTION A. GENERAL Test all plants producing material for Caltrans projects for departures from the regulations administered by the California Division of Occupational Safety and Health, U. S. Department of Labor - Occupational Safety and Health Administration, and California Department of Transportation. Only those areas frequented by Caltrans plant inspectors need be inspected. Refer to Section 7-1.06 "Safety and Health Provisions" of the Standard Specifications. Report all safety deficiencies on Form HC-0012, "Material Plant Safety Checklist," or equivalent. This is a checklist type form to help with the safety regulations. The completed copy of this report must be passed on to the Resident Engineer, HQ Construction, the plant inspector, and the contractor, before the start of production possible. 20 - California Test 109 May 2004 REFERENCE California Standard Specifications Caltrans Standard Special Provisions California Test 125 Caltrans Weight and Measures Handbook End of Text (California Test 109 contains 21 pages) California Test 109 May 2004 Attachment TABLE A - METER TESTING EXTREMES meter size size designation minimum test draft witness scale maximums maximum individual error inch mm liters/kg capacity graduation asphalt' water lime slurry' epoxy < 0.76 < 19 small 100 250 kq 0.10 kg ± 0.5% ± 1.5% t 0.5% ± 0.5% 0.76 - 1.49 19 - 30 medium 600 1000 kq 0.50 kq ± 0.5% ± 1.5% ± 0.5% ± 0.5% > 1.49 > 30 large 1150 1 2500 kg 0.50 kg ± 0.5% ± 1.5% ± 0.5% ± 0.511,0 ' Meters used for proportioning at continuous mixing AC plants and hme slurry treatment plants shall be accurate to within 0.5 %, of lhp, test load for an average of three test runs and no individual lest run error shall exceed 1.0 % TABLE B - CONVEYOR SCALE TESTING EXTREMES maximum error test size minimum witness scale testing range average individua scale, max grad, rnax Agg, AC a dust 1.0% 2 0% 3 rain.' 40 tonnes 10 kg 30%, 65%, 100% 1 0% 2 0% 15 min 2 5 tonnes " 0.5 kc 309/4, 65%, 1009% Antistrip 1.0% 2.0% 3 min' 40 tonnes 10 kg 30%, 65%, 100% Lime, Marinate agg lime 1 0% 2 0% 3 min ' 40 tonnes 10 kg 30%, 65°i,,, 100°/o 0.5% 1.00/10 0 5 tonno 2 5 tonnes 0.5 kg 30%, 65%, 100% Lime, Dry agd Iorne 1 0% 2 Q% 3 min ' 40 tonnes 10 kg 30%, 65%. 100% 0 7% 1 0% 0 5 tonne 2 5 tonnes 0.5 kq 30�°, 05% 100% All Other > 100 tphl < 100 (ph 1.0111 2 0% 3 ruin ' 40 tonnes 10 kg 30%, 65%, 100% 1.0% 2 0% 0 5 tanno 2 5 lonnes 0.5 k ;iU%, 65%, '1001/6 ' Use a 3 nunuto or longer calibratroi run un uss tl e ca ibrat on rite exceeds 365 tonnes per hour " The witness scale size for baghouse dust wIl depend on the amount of material delivered during the 15 m note lost run 21- YY I �� � �� { 1 f��s 16 / (' ����� ���� � �k�� 9 ���� �� � �'��lk��J�,vN ���4�iaw'��� �� ��� �� ��,� 2 �� o-m�. "�,�v'`1�, `� `ui� ���* ��4 m�� �`;��hjt,, ����4 w "ve 3 ��� ���y*�,� t a �„ ��i � s+ �. } '��}4 � � 5� 1 � ��� \� � �� �x}� x ����i��� �rc t^t ���k�� s a`a ��°,� a �"�-rw` ������: } R t E { 9 � � Yk, ,�' .� �, S: e �� �„:rtwaw•a 'hi4 a r d ri a a a ee "; } and quasi stet 25 HP 1191(w) Eli Allm for mixir varying p tilia Y }r 3t dll� c i9 S yTM� a n • m M M x . Pyucednres M2mmi E335MUT I 5-C Local Ap-=y Bidder DBE CownfibmeM (Conshwfim Contracts) ExF= 15—G LocAL AGrNcy BIDDER DEE CoxnurmyxT (Co,4mumo-N CoN-rRA. m.) NOTE: PLEASE RTFM TO MIRUMONS ON THE REVERSE SIDE OF THIS FORM CiLy of Palm Desert IL,_AT-1UH: fmql Dt=T PMffCTDf3r-WRN:fDMLCI PAq& &Vf Q26,ODQ-QQ i �2110DD (Atlit-0 amr.j.Tf: RMDEKSjfAm-: Hardy & Harper, Inc nCINMAZ7 No- OF%'O5XL'MDMSCRWTMW SERTWKES TO EE IJBC-CCeMrLV--TJM'Lff- NIATMILUS 0 BE FROM-ED (m u=mctod d tbw . n a DEE) t)i�C,Llmd ME=--TIM. ND M-RMAT, -q DATE toll4liq NZtWCFEALU DBE pdna E-a r.Ttfwd m *a &--.p Wjb on apanad - in,hA DRE 3dArw. amd phwa mbar) ME to CICTem tulmlig jTgMG I.LM oncMkl riq 0 U& -(X For Local Agency to Complete: !oCaaAFMC7.y Contrut'.4-AEbw fu&-al-wd hwjoaNbumho Fa&ffA muffw- TOW Ckima CM -C)Q L) % Oxman Awmd I)zft: Local Amncyoffu5" dw a DEE cmm5mbanr hvv bam roffioci red Rix I.Iwm sip— Dab L" �t C-U) Talq*—N-z&- 10/14/15 714-444-185) Dx..rl (Ama Cskij Tal- No - Steve Kirschner - Vice. President Pwm to ccm�-t fplb— T)T-- - P-1 Dismilmam ki) capy- Pax arscan &ccpv to (MAZI w R, am (3) Agm-Y filet Page 15-1 OB 12-94 June Zo, 1012 Vage J-b Ucal Ambmn we Pnxtdea•es b mmstl F.rhihit l am& DSF Wormatime - Good Faith Effort Emrf 15-H DBE La�a> rio*� — C;aoD 1 u Ears DBE MORALMON - GOOD LUTH EFFORTS Federal-adPi-gedxo. 632--Q131__ Bid Opewar. Date i0 23t5 The (ih�Ca �fY DG�CI 1 eLtablishe<1 a Dradi-anraged Buaues; Emnpnse (DBE) goal of for this project The information proc•ided herem shove: that a good faith effort az made. Lowest, xeond lowest and third the following urfotaaation to document adequate good faith efforts. Bidder should ssbmt the following infornatiou even of the Local Agency Bidder' DBE Comm immeat- form indicates that the bidder has met the DBE goat. This will protect the bidder's eiigrbihty for awed of the contract if die admutistenwg agency determine that the bidder faded to meet the goal for vanotr. reasons_ e.g.. a DBE firm was not certified at bid opening.. or the b m made a mathemaucal a Tm. Submittal of only the `'racat Agency Bidder DBE Comrnrrmexd" faun ua,.y not prox-;de saS'rcieni doc=emmron to demausaate that adegmte good faith effort, were trade. The Wonmq hems air b-ted in the Section entitled -Submi-lion of DBE Commitment" of the Speew P:nizaoa;- A The mutes and dates of each publication w which a request for DBE participation for this project was, placers by the bidder (please attach copies of achwbsements or proofs of publication): Publications Dates of Advertisen tnt 2p 1 rU('�TIDn �rar z B. The names and dates of mitten notrces sent to certified DBEs soliciting bids for this project and the dates and methods used for followmg up initial solititations to determine with certainty whether the DBEs were interested (please attach copies of solicitations, telephone records, fax confirmations, etc.): Frames of DBEs Solicited Date of Initial Follow Up Methods and Elates Solicitation Page 15-1 0811-44 June 29, 2012 Page J-8 ExuNt L�H tacos Assis a e Pracedvts A"naal DBE Wormahm -food Faits Marl C. The ite is of work which the bidder made available to DBE firths including, where appropriate_ anti• break-in down of the contract rkod items (including those items nornmEy performed by the bidder with its own forces) into econornicaHv feasible umits to facilitate DBE participation. It is the bidder's resp rsibihty to demonstrate that went work- to facilitate DBE participation was made available to DBE firms. Items of WGrk Bidder Normally Breakdown of Amount Percentage Performs Item Items (S) Of CYIND Contract b A— IJ_ __ -ca to D. The nan es. addresses and phone numbers of rejected DBE firms; the reasons for the bidder's rejection of the DBEs. the firms selected for that work (piease attach copies of quotes from the firms involved), and the price difference for each DBE if the selected firm is not a DBE: Nantes. addresses and phone munben of rejected DBEs and the reasons for the bidder's rejection of the DBEs C _qM3 (4Qq)gqq - apt if o madder wm M s-lf AW, ohs'r rev td n su�rrnr a r>nit�,"ifiei VYM put GI union rtnm ut AYta quoi WOL not itf, C -st FDY It t r FOCAIoYt• Names, addresses and phone numbers of f nns selected for the work- above: �Q�l�� huina c�U-1 szfl- t��sp E. Efforts made to assist interested DBEs in obtaining bondingr lines of creditor instrrance, aLd any technical assistance or infnrmatim related to the plans. specifications and requirements for the work: uhicb was roraded w DBEs: s� ?no 115 2 Jam 29, 2Q12 QB 1244 Page J-9 lacsl A :d:rsore EYxedm'es twat F_thtbit 15-g DEE iafw=zf as - Good Faith Effort F. Efforts m ck to assist iuterested DBEs in obtaining necessary eRuagmenl, supplies. Materials of related assistancr or senices, excluding supplies and equipment the DBE subcontractor purchases or Teases from the nure conuffili artor or its affiliate: and wTr-weX1Pj Maw wxft(I�Arj ate: 111- -t— Df G The names of agencies, organizations or groups contacted to provide assistance in contacting. recruiting and using DBE firms (please attach copies of requests to agencies and any responses rectised, i.e._ lists. Internet pap donziload, etc,) Name of AgencylOmanization MethodT?ate of Contact Results �� �cr�m�n�lf �DS)�li�lk�t'l dD�a.lt�Xlts. H Any additional data to support a demorstration of good faith efforts (use additional sheets if necessary): n d.sddrnact� ROTE: USE YDDMON- AL SFMM OF PAPER IF NF._.0ESSARY. Page 1 a-3 08124A Jane 29, 2012 Page J-10 Tina Pham Subject: FW: Invitation to Bid Attachments: 20151014134805812.pdf; 20151014134913075.pdf; 20151014135001214.pdf; Addendum 1.pdf From: Tina Pham Sent: Monday, October 26, 2015 2:10 PM To: 'kbabbott@abbottce.com'; 'gigi@acrconcreteinc.com'; 'alliancebuilderinc@yahoo.com'; 'alliedbuilding@sbcglobal.net'; 'bannaouncorp@yahoo.com'; 'reoinc93@aol.com'; 'info@fifeconcrete.com'; 'miguel@elcaminoconeng.com'; 'greg@pacifictractorwest.com'; 'Van (California Professional Engineering' <van(5)cpengineeringinc.com>; 'Andrea North' <andreanorth(&Ioopmastersinc.com>; 'Estimating' <estimatinQQ&ticinc-ca.com> Subject: Invitation to Bid Hardy & Harper, Inc. is seeking qualified DBE for Portola Ave STP Rehab Project Awarding Agency: City of Palm Desert Bid/Project #: 672-13 Location: Palm Desert, CA Bid Date/Time: 10/27/15 @ 2:OOPM Invitation Details: Traffic Loops, Striping, Manholes Attached you will find the Specs and Plans for this job. Thank you, r&wa phavw Hardy and Harper, Inc. 1312 East Warner Avenue Santa Ana, CA 92705 Direct: (714) 352-7026 Office: (714) 444-1851 Fax: (714) 444-2801 1 Tina Pham From: The Weekly Bid Flash <support@theweeklybidflash.com> Sent: Tuesday, October 20, 2015 8:42 AM To: Tina Pham Subject: Weekly Bid Flash DBE Ad Affidavit - Portola Avenue STP Rehab Project Proof of Publishing Affidavit To Whom It May Concern: Be it known that this is a sworn affidavit that Hardy & Harper, Inc. did place an advertisement we published on 10120/2015 in our nationwide publications, Construction Star, Inc. and The Weekly Bid Flash, seeking Certified Disadvantaged subcontractors and/or material suppliers for the project Portola Avenue STP Rehab Project. A copy of the advertisement is below: Date Of Advertisement Placement: 10/20/2016 8:42:04 AM Hardy & Harper, Inc. An Equal Opportunity Employer, is requesting quotations from all qualified DBE sub -contractors and material suppliers for the following project: Portola Avenue STP Rehab Project City/Location: Palm Desert County: Riverside Owner. City of Palm Desert Bid Date: Tuesday 10/27/2015 at 2:00 PM We are requesting bids for the following trades and/or supplies: Manhole, Cold Mill, Traffic Signal Loop, Striping, Bid documents can be viewed at or obtained from: We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. Hardy & Harper, Inc. 1312 East Warner Avenue Santa Ana, CA 92705 Phone: (714) 444-1851 Fax: (714) 444-2801 Tina Pham toham(cVhardvandharper.com Published on 10/20/2015 9:00:00 AM by The Weekly Bid Flash and The Construction Star Trade and Focus Publications located at www.theweeklybidflash.com and www.constarl.com Phone:1.800.479.5314 Fax:1.619.688.0585 This solicitation Ad will run until the bid date Our publication is a listed approved source by the State of CA, Dept. of General Services, Office of Small Business Certification & 1 Resources, in its Resource Packet. Since, 1989 our firm has been proud to help businesses reach Certified Disadvantaged firms statewide. If you should need any further information, please do not hesitate to contact us at 800-479-5314. Thank you again! Construction Bidboard Inc. 11622 El Camino Real, Suite 100 San Diego, CA 92130 www.theweeklybidflash.com 800-479-5314 Tina Pham From: The Weekly Bid Flash <support@theweeklybidflash.com> Sent: Tuesday, October 20, 2015 8:42 AM To: Tina Pham Subject: Copy of your DBE Ad - Portola Avenue STP Rehab Project Date Of Advertisement Placement: 10/20/2015 8:42:04 AM Hardy & Harper, Inc. An Equal Opportunity Employer, is requesting quotations from all qualified DBE sub -contractors and material suppliers for the following project: Portola Avenue STP Rehab Project City/Location: Palm Desert County: Riverside Owner: City of Palm Desert Bid Date: Tuesday 10/27/2015 at 2:00 PM We are requesting bids for the following trades and/or supplies: Manhole, Cold Mill, Traffic Signal Loop, Striping, Bid documents can be viewed at or obtained from: We are an equal opportunity employer. The plans and specs are available for your review at our office or we can fax you the proposal schedule. Bonds will not be required from qualified subcontractors. Hardy & Harper, Inc. 1312 East Warner Avenue Santa Ana, CA 92705 Phone: (714) 444-1851 Fax: (714) 444-2801 Tina Pham tpharnghardyandharper. com Published on 10/20/2015 9:00:00 AM by The Weekly Bid Flash and The Construction Star Trade and Focus Publications located at www.theweeklybidflash.com and www.constarl.com Phone:1.800.479.5314 Fax:1.619.688.0585 This solicitation Ad will run until the bid date 1 (THE BIDDER'S EXECUTION ON THE SIGNATURE PORTION OF THIS PROPOSAL SHALL ALSO CONSTITUTE AN ENDORSEMENT AND EXECUTION OF THOSE CERTIFICATIONS WHICH AREA PART OF THIS PROPOSAL) EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder Hardy & Harper, Inc proposed i subcontractor Pavement Recycling hereby certifies that he has X has not , participated in a previous contract or subcontract subject to the equal j opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract �i Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. i Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of tabor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specked by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Page K-19 (THE BIDDER'S EXECUTION ON THE SIGNATURE PORTION OF THIS PROPOSAL SHALL ALSO CONSTITUTE AN ENDORSEMENT AND EXECUTION OF THOSE CERTIFICATIONS WHICH ARE A PART OF THIS PROPOSAL) EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder Hardy & Harper, Inc proposed subcontractor Traffic Loops Crackfilling hereby certifies that he has X has not participated in a previous contract or subcontract subject to the equal opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he has filed Mth the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Govemment contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. i.� a Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1,7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.) t: Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations. I•! Proposed prime contractors and subcontractors who have participated in a previous contract or p subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Page K-19 (THE BIDDER'S EXECUTION ON THE SIGNATURE PORTION OF THIS PROPOSAL SHALL ALSO CONSTITUTE AN ENDORSEMENT AND EXECUTION OF THOSE CERTIFICATIONS WHICH AREA PART OF THIS PROPOSAL) EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder Hardy & Harper, Inc proposed subcontractor EBS Utilities hereby certifies that he has X has not , participated in a previous contract or subcontract subject to the equal opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or 4 under are exempt.) Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Page K-19 (THE BIDDER'S EXECUTION ON THE SIGNATURE PORTION OF THIS PROPOSAL SHALL ALSO CONSTITUTE AN ENDORSEMENT AND EXECUTION OF THOSE CERTIFICATIONS WHICH AREA PART OF THIS PROPOSAL) EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder Hardy & Harper, Inc proposed subcontractor Cal Stripe hereby certifies that he has X has not , participated in a previous contract or subcontract subject to the equal opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Page K-19 0 14 RAMON RD SHORE DINAH- DR �STPL 5414(012)j GERALD FORD DR FRANKSINATRA DR 1/1 ua COUNTRY CLUB DR Palm—o- U �-j HOVLEY LIVW esert LU HOVLEY LN E Bermuda HOVLEY LN E R Dunes MAGNESIA FALLS DR ly RKVIE'W DR M CALI 0 FRED WARING DR HWY EL PASEO t4 rAIN DR FAIRWAY Indian Wells HA YS rA CK RD MESA VIEW DR STPL 5414(012) Regional Location Map I N 11